Noah'S Ark Urgent Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

003556 Issued in GA

Legal business name

NOAH'S ARK URGENT CARE LLC

Practice address

950 Eagles Landing Pkwy
Suite 212
Stockbridge, GA 30281-7343

Phone

(470) 771-9677

NPI assigned

Aug 26, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Charla Verdene Johnson, PA-C

Title

Owner/Manager

Phone

(470) 771-9677

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474070400000",
    "number": "1083160436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 EAGLES LANDING PKWY",
            "address_2": "SUITE 212",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817343",
            "telephone_number": "470-771-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 EAGLES LANDING PKWY",
            "address_2": "SUITE 212",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817343",
            "telephone_number": "470-771-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOAH'S ARK URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-09-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CHARLA",
        "authorized_official_middle_name": "VERDENE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "470-771-9677",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "GA",
            "license": "003556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "667084523B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juan Nieto
• Jessica Leann Nieves, PA
• Nizar a. Tejani MD. PC
• Priscilla Njagi, PHARMACIST
• Vida Njoku
• Leo O Noragbon, MD, MBA
• Northwest Diagnostic Imaging, Inc
• Melvina Alexis Norwood, PH.D.
• Ali Nourbakhsh, MD
• Sanjuana Nozile, PA

• Urgent Care Clinic/Center in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Urgent Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2016; 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.