NPIMap

Organization Active NPI

Urgent Care of Berwick LLC

  • Urgent Care Clinic/Center
  • Savannah, GA
National Provider Identifier
1093219271
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
URGENT CARE OF BERWICK LLC
Practice address
7360 Skidaway Rd Ste L2
Savannah, GA 31406-4285
Phone
(912) 201-1140
Fax
(912) 777-6449
NPI assigned
Mar 21, 2018
Organization subpart
Yes
Parent organization
URGENT CARE OF BERWICK LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Authorized official

Name
Cory M Stanley
Title
PA
Phone
(912) 201-1140

Specialties & licenses 1

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

Addresses

Primary practice location

7360 Skidaway Rd Ste L2
Savannah, GA 31406-4285

Mailing address

5730 Ogeechee Rd Ste 192
Savannah, GA 31405-9521
Phone (912) 201-1140

Other names 1

  • Urgent Care of Sandfly Doing business as

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
11D2279917Urgent Care of Sandfly7360 Skidaway Road #L2, Savannah, GA 31406Certificate of waiverApr 10, 2027

National Provider Directory

National Provider Directory
Part of
Urgent Care of Berwick LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

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": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1093219271",
    "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": "314059521",
            "telephone_number": "912-201-1140",
            "fax_number": "912-777-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7360 SKIDAWAY RD STE L2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064285",
            "telephone_number": "912-201-1140",
            "fax_number": "912-777-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE OF BERWICK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "URGENT CARE OF BERWICK LLC",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PA",
        "authorized_official_telephone_number": "912-201-1140"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent Care of Sandfly",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Urgent Care of Sandfly",
            "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 Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.