Physcians Immediate Med of Canton, PC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

035839 Issued in GA

Legal business name

PHYSCIANS IMMEDIATE MED OF CANTON, PC

Practice address

720 Transit Ave Ste 101
Canton, GA 30114-2571

Phone

(770) 720-7000

Fax

(770) 720-7055

NPI assigned

Jan 29, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Charles R Cooley, M.D.

Title

Owner

Phone

(770) 720-7000

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013053115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 TRANSIT AVE STE 101",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142571",
            "telephone_number": "770-720-7000",
            "fax_number": "770-720-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 TRANSIT AVE STE 101",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142571",
            "telephone_number": "770-720-7000",
            "fax_number": "770-720-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSCIANS IMMEDIATE MED OF CANTON, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOLEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-720-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "GA",
            "license": "035839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John T Phelps, D.M.D.
• Stephen Matthew Phelps, D.M.D.
• Alice Jyothi Philip, M.D.
• Megan Elizabeth Phillips, PHARMD
• Pushpa Phillips, MD
• Physicians Family Medicine of Canton, LLC
• Physiotherapy Associates Inc
• Leaanne Pierce
• Dorian Elise Pilcher, PHARMD
• Cheryl M Pines, MPT

• Urgent Care Clinic/Center in Canton, GA
• Providers in Canton, GA by specialty
• Urgent Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.