Active NPI
Urgent Care of Berwick LLC
- Urgent Care Clinic/Center
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- 061648
- Legal business name
- URGENT CARE OF BERWICK LLC
- Practice address
- 5730 Ogeechee Rd Ste 192
Savannah, GA 31405-9521 - Phone
- (912) 201-1140
- NPI assigned
- Oct 14, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cory Stanley, PA-C
- Title
- Member, Ceo
- Phone
- (828) 275-1860
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | 061648 | GA | Primary |
Addresses
Primary practice location
5730 Ogeechee Rd Ste 192
Savannah, GA 31405-9521
Mailing address
5730 Ogeechee Rd Ste 192
Savannah, GA 31405-9581
Phone (912) 201-1140
Other names 1
- Urgent Care of Berwick
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150303002480 | GA | Part B Supplier - Clinic/Group Practice | 4789900051 |
Receives reassigned benefits from 23 practitioners Practice locations: Savannah, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2086426 | Urgent Care of Berwick | Certificate of waiver | Nov 3, 2026 |
National Provider Directory
National Provider DirectoryLocations
212 Johnny Mercer Blvd
Ste A
Savannah, GA 31410
5730 Ogeechee Rd
Ste 192
Savannah, GA 31405
Phone (912) 201-1140
7360 Skidaway Rd
Ste L2
Savannah, GA 31406
Phone (912) 201-1140
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.
-
- Urgent Care Clinic/Center
- Savannah, GA
- NPI 1093219271
Practitioners & affiliated clinicians
Practitioners 23
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": "1413244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697155200000",
"number": "1083018485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5730 OGEECHEE RD STE 192",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314059581",
"telephone_number": "912-201-1140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5730 OGEECHEE RD STE 192",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314059521",
"telephone_number": "912-201-1140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "URGENT CARE OF BERWICK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-14",
"last_updated": "2023-10-13",
"certification_date": "2021-11-11",
"status": "A",
"authorized_official_last_name": "STANLEY",
"authorized_official_first_name": "CORY",
"authorized_official_title_or_position": "MEMBER, CEO",
"authorized_official_telephone_number": "828-275-1860",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "GA",
"license": "061648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Urgent Care of Berwick",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Urgent Care of Berwick",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.