HDH Healthcare Group, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

HDH HEALTHCARE GROUP, LLC

Practice address

120 Handley Rd
#400
Tyrone, GA 30290-2177

Phone

(404) 597-9523

NPI assigned

Sep 22, 2014

Organization subpart

Yes

Parent organization

HDH, LLCAs reported in NPPES

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

Authorized official

Name

Jared Deraney

Title

Owner

Phone

(480) 482-0934

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Momentum Primary Care Doing business as

Part of

Momentum Primary Care LLC

Locations

Practitioners 2

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

• Adegboyega Oyegbenga Orelaja, PA

  • Medical Physician Assistant
  • Hampton, GA
  • NPI 1518284884
  NPD
• Gregory Ryan Lewis, CRNA

  • Certified Registered Nurse Anesthetist
  • Spruce Pine, NC
  • NPI 1588901425
  NPD (past)

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1043612922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 935719",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311932177",
            "telephone_number": "678-430-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HANDLEY RD",
            "address_2": "#400",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902177",
            "telephone_number": "404-597-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HDH HEALTHCARE GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HDH, LLC",
        "enumeration_date": "2014-09-22",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "DERANEY",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-482-0934"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "033776",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00469092A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Momentum Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Momentum Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jill Harris, CNM
• Blair Hatchett
• Reyna L Hatten, RBT
• Haven Health Solutions LLC
• William Hawkins
• Healthpoint PC
• Healthpoint, PC
• Elizabeth Johnson Higbie, PHD, PT, ATC, LAT
• Sonja Regina Hill, MT
• Harriet Carleen Hint, CPNP

• Urgent Care Clinic/Center in Tyrone, GA
• Providers in Tyrone, 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 Mar 26, 2021; 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.