NPIMap

Organization Active NPI

Urgent MD Healthcare Services, P.C.

Doing business as Urgent MD, LLC

  • Family Medicine Physician
  • Grovetown, GA
National Provider Identifier
1053482273
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
063801 Issued in GA
Legal business name
URGENT MD HEALTHCARE SERVICES, P.C.
Doing business as
Urgent MD, LLC
Practice address
469 Lewiston Rd
Grovetown, GA 30813-4221
Phone
(706) 941-3333
Fax
(706) 922-6579
NPI assigned
Nov 10, 2006
Last updated
Oct 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Authorized official

Name
Mr. Michael H Graham
Title
Ceo
Phone
(706) 922-6300

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 038493 GA
Emergency Medicine Physician 207P00000X 026379 GA
Emergency Medicine Physician 207P00000X 026379
Family Medicine Physician 207Q00000X 063801 GA Primary
Internal Medicine Physician 207R00000X 038493 GA

Addresses

Primary practice location

469 Lewiston Rd
Grovetown, GA 30813-4221

Mailing address

3686 Wheeler Road
Augusta, GA 30909-6520
Phone (706) 922-6300

Other names 1

  • Urgent MD, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070103000504 GA Part B Supplier - Clinic/Group Practice 5890795538 Receives reassigned benefits from 34 practitioners
1 other NPI on this enrollment
Practice locations: Augusta, GA; Evans, GA; Grovetown, GA; Martinez, GA; Thomson, GA; Washington, GA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

204 Martin Luther King Jr Blvd
Elberton, GA 30635

1008 E Robert Toombs Ave
Washington, GA 30673
Phone (706) 678-1633

1201 West Ave
North Augusta, SC 29841
Phone (803) 279-1030

Ownership & related parties

Subparts reporting this organization as parent 1

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

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1053482273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3686 WHEELER ROAD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096520",
            "telephone_number": "706-922-6300",
            "fax_number": "706-922-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 LEWISTON RD",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308134221",
            "telephone_number": "706-941-3333",
            "fax_number": "706-922-6579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT MD HEALTHCARE SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-922-6300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "GA",
            "license": "038493",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "026379",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": "026379",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "063801",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "038493",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent MD, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Urgent MD, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grovetown, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.