NPIMap

Organization Active NPI

Urgent Care of Berwick LLC

Doing business as Urgent Care of Berwick

  • Urgent Care Clinic/Center
  • Savannah, GA
National Provider Identifier
1083018485
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
061648 Issued in GA
Legal business name
URGENT CARE OF BERWICK LLC
Doing business as
Urgent Care of Berwick
Practice address
5730 Ogeechee Rd Ste 192
Savannah, GA 31405-9521
Phone
(912) 201-1140
NPI assigned
Oct 14, 2014
Last updated
Oct 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Authorized official

Name
Cory Stanley, PA-CNPI 1992825152
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2086426Urgent Care of Berwick5730 Ogeechee Rd Suite 192, Savannah, GA 31405Certificate of waiverNov 3, 2026

National Provider Directory

National Provider Directory

Locations

212 Johnny Mercer Blvd
Ste A
Savannah, GA 31410

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 23

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 23

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.

Verify at the official NPI Registry.