Dekalb Urgent Care and Wellness Clinic, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DEKALB URGENT CARE AND WELLNESS CLINIC, LLC

Practice address

157 Marshall Road
Rainsville, AL 35986

Phone

(256) 638-9355

NPI assigned

Dec 5, 2019

Organization subpart

No

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

Authorized official

Name

Ashley Thomas, NPNPI 1497027684

Title

Owner/NP

Phone

(256) 638-9355

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Ashley Wigley Thomas, CRNP

  • Family Nurse Practitioner
  • Rainsville, AL
  • NPI 1497027684
  Medicare reassignment Care Compare group NPD Authorized official
• Autum Clark Coots

  • Family Nurse Practitioner
  • Rainsville, AL
  • NPI 1386408904
  Medicare reassignment Care Compare group NPD
• Natalie Faith Edmonson, CRNP

  • Family Nurse Practitioner
  • Rainsville, AL
  • NPI 1386362986
  Medicare reassignment Care Compare group NPD
• Ashley Renee Cole, M.D.

  • Emergency Medicine Physician
  • Fort Payne, AL
  • NPI 1841424959
  Medicare reassignment NPD

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575504000000",
    "number": "1073150306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 CREEK DR",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359864773",
            "telephone_number": "256-638-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 MARSHALL ROAD",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "35986",
            "telephone_number": "256-638-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEKALB URGENT CARE AND WELLNESS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER/NP",
        "authorized_official_telephone_number": "256-638-9355",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Dabbs, DC
• Iris Parker Davis, MS
• Timothy B Decker, D.O.
• Ricky G Deerman, MD
• Dekalb County Board of Education
• Savanna Joy Desantis, CRNP
• Katherine Woods Doolittle
• Dove Renew
• Dr Emily K White PC (Dr Emily K White)
• Dr. John Anderson

• Family Medicine Physician in Rainsville, AL
• Providers in Rainsville, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.