FAMILY PRACTICE AND URGENT CARE NPI 1104640846

NPI Information

  • NPI: 1104640846
  • Provider Name: FAMILY PRACTICE AND URGENT CARE
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 11D1087130
  • Address: 3812 SALEM RD
    COVINGTON, GA
    ZIP 30016
  • Phone: (678) 625-5431

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NPI Details

FAMILY PRACTICE AND URGENT CARE is a primary care nurse practitioner in Covington, GA. FAMILY PRACTICE AND URGENT CARE NPI is 1104640846. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3812 SALEM RD
COVINGTON, GA
ZIP 30016-528
Phone: (678) 625-5431

The provider's authorized official is Margaret Blanche Lyons .
The authorized official title is Employer and has the following contact phone number (678) 625-5431.

The CLIA number assigned to this NPI record is 11D1087130 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/11/2024 and was last updated on 11/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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