NPIMap

Organization Active NPI

Village Urgent Care

  • Urgent Care Clinic/Center
  • Auburn, AL
National Provider Identifier
1053093682
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
VILLAGE URGENT CARE
Practice address
1747 Ogletree Rd Ste B
Auburn, AL 36830-6648
Phone
(334) 412-2576
NPI assigned
Aug 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Authorized official

Name
Mrs. Walton Callen Walls, CRNPNPI 1154791390
Title
Owner
Phone
(334) 539-7761

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1747 Ogletree Rd Ste B
Auburn, AL 36830-6648

Mailing address

1747 Ogletree Rd Ste B
Auburn, AL 36830-6648

Other identifiers 3

IdentifierTypeStateIssuer
1073172805OtherALNPPES
1982816724OtherALNPPES
1154791390OtherALNPPES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231010000694 AL Part B Supplier - Clinic/Group Practice 5890140974 Receives reassigned benefits from 7 practitioners
Practice locations: Auburn, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2293829Village Urgent Care1747 Ogletree Rd, Suite B, Auburn, AL 36830Certificate of waiverAug 5, 2026

National Provider Directory

National Provider Directory

Locations

1747 Ogletree Rd
Ste B
Auburn, AL 36830
Phone (334) 707-0853

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 7

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": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1053093682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 OGLETREE RD STE B",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368306648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 OGLETREE RD STE B",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368306648",
            "telephone_number": "334-412-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "WALTON",
        "authorized_official_middle_name": "CALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-539-7761",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1073172805",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1982816724",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1154791390",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.