NPIMap

Organization Active NPI

Eastside Urgent Care, LLC

Doing business as EastSide Urgent Care

  • Urgent Care Clinic/Center
  • Lawrenceville, GA
National Provider Identifier
1093177883
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
EASTSIDE URGENT CARE, LLC
Doing business as
EastSide Urgent Care
Practice address
3370 Sugarloaf Pkwy
Suite a
Lawrenceville, GA 30044-5478
Phone
(678) 895-9275
Fax
(404) 410-7707
NPI assigned
Mar 22, 2016
Last updated
Dec 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Authorized official

Name
Dr. Navreet Pannu
Title
Director
Phone
(678) 895-9275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

3370 Sugarloaf Pkwy
Suite a
Lawrenceville, GA 30044-5478

Mailing address

450 14TH St NW
Atlanta, GA 30318-7963
Phone (770) 884-4399

Other names 1

  • EastSide Urgent Care Doing business as

National Provider Directory

National Provider Directory

Locations

3370 Sugarloaf Pkwy
Lawrenceville, GA 30044
Phone (404) 480-9797

3370 Sugarloaf Pkwy
Ste A
Lawrenceville, GA 30044
Phone (678) 895-9275

7231 Rockbridge Rd
Lithonia, GA 30058
Phone (678) 710-9270

601 Shorter Ave SW
Rome, GA 30165
Phone (678) 369-2792

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1093177883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 14TH ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303187963",
            "telephone_number": "770-884-4399",
            "fax_number": "404-410-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 SUGARLOAF PKWY",
            "address_2": "SUITE A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300445478",
            "telephone_number": "678-895-9275",
            "fax_number": "404-410-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "PANNU",
        "authorized_official_first_name": "NAVREET",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-895-9275",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EastSide Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.