Organization Active NPI

Quickcare Clinic, Inc

  • Clinic/Center
  • Marietta, GA
National Provider Identifier
1073338919
Registry record updated Nov 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
QUICKCARE CLINIC, INC
Practice address
1400 S Marietta Pkwy SE Ste 203
Marietta, GA 30067-7844
Phone
(678) 935-9939
Fax
(678) 935-9974
NPI assigned
Nov 16, 2024
Last updated
Nov 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2024

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

Authorized official

Name
Ms. Tanisha Hodge
Title
Cfo
Phone
(678) 935-9939

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Community Health Clinic/Center 261QC1500X NU
Health Service Clinic/Center 261QH0100X NU
Migrant Health Clinic/Center 261QM1000X NU

Addresses

Primary practice location

1400 S Marietta Pkwy SE Ste 203
Marietta, GA 30067-7844

Mailing address

1400 S Marietta Pkwy SE Ste 203
Marietta, GA 30067-7844
Phone (678) 935-9939

National Provider Directory

National Provider Directory

Locations

1400 S Marietta Pkwy SE
Ste 203
Marietta, GA 30067
Phone (678) 935-9939

NPI Registry JSON

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

{
    "created_epoch": "1731715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731715200000",
    "number": "1073338919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S MARIETTA PKWY SE STE 203",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300677844",
            "telephone_number": "678-935-9939",
            "fax_number": "678-935-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S MARIETTA PKWY SE STE 203",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300677844",
            "telephone_number": "678-935-9939",
            "fax_number": "678-935-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUICKCARE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-16",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "TANISHA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "678-935-9939",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Migrant Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

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