Highland Urgent Care and Family Medicine LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

License

005506 Issued in GA

Legal business name

HIGHLAND URGENT CARE AND FAMILY MEDICINE LLC

Doing business as

Highland urgent care and family medicine llc

Practice address

920 Ponce de Leon Ave NE
Atlanta, GA 30306-4212

Phone

(404) 815-1957

Fax

(404) 815-1954

NPI assigned

Jun 30, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Amy Hatfield, PA-C

Title

Physician Assistant

Phone

(404) 815-1957

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Highland urgent care and family medicine llc Doing business as

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1073741971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 PONCE DE LEON AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303064212",
            "telephone_number": "404-815-1957",
            "fax_number": "404-815-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 PONCE DE LEON AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303064212",
            "telephone_number": "404-815-1957",
            "fax_number": "404-815-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND URGENT CARE AND FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "HATFIELD",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "404-815-1957",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "GA",
            "license": "005506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT",
            "identifier": "0055069",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland urgent care and family medicine llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Emergency Care Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Emergency Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.