NPIMap

Organization Active NPI

CCS Rock Urgent Care & Family Practice LLC

  • Urgent Care Clinic/Center
  • Lithonia, GA
National Provider Identifier
1043047004
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CCS ROCK URGENT CARE & FAMILY PRACTICE LLC
Practice address
1477 Rogers Crossing Dr
Lithonia, GA 30058-7007
Phone
(678) 599-5477
NPI assigned
Sep 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Kodjo Aziamadji, FNPNPI 1134703705
Title
Owner
Phone
(678) 599-5477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1477 Rogers Crossing Dr
Lithonia, GA 30058-7007

Mailing address

1477 Rogers Crossing Dr
Lithonia, GA 30058-7007
Phone (678) 599-5477

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1043047004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 ROGERS CROSSING DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300587007",
            "telephone_number": "678-599-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 ROGERS CROSSING DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300587007",
            "telephone_number": "678-599-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCS ROCK URGENT CARE & FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-15",
        "status": "A",
        "authorized_official_last_name": "AZIAMADJI",
        "authorized_official_first_name": "KODJO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-599-5477",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.