NPIMap

Organization Active NPI

Rural Urgent Care LLC

Doing business as MainStreet Family Care

  • Urgent Care Clinic/Center
  • Hazlehurst, GA
National Provider Identifier
1093384497
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
RURAL URGENT CARE LLC
Doing business as
MainStreet Family Care
Practice address
162 East Jarman St.
Hazlehurst, GA 31539
Phone
(912) 209-0239
Fax
(912) 209-5092
NPI assigned
Jun 21, 2021
Last updated
Mar 20, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
RURAL URGENT CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Authorized official

Name
Krista Rock
Title
VP
Phone
(205) 545-5090

Specialties & licenses 1

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

Addresses

Primary practice location

162 East Jarman St.
Hazlehurst, GA 31539

Mailing address

1500 1St Ave N Unit 3
Birmingham, AL 35203-1866
Phone (205) 545-5085

Other names 1

  • MainStreet Family Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210930002230 GA DME Supplier - Physician - Family Practice 8820305600 Practice locations: Hazlehurst, GA

Other NPIs with the same Medicare PAC ID 20

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 20

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
11D2227480Rural Urgent Care162 East Jarman Street, Hazlehurst, GA 31539Certificate of waiverJun 13, 2027

National Provider Directory

National Provider Directory
Part of
Rural Urgent Care LLC

Locations

162 E Jarman St
Hazlehurst, GA 31539
Phone (912) 209-0239

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mainstreet Family Care - Forest CityForest City, NC, CCN 343809 Rural health clinic Operational/Managerial Control (100%) Apr 15, 2021
Mainstreet Family Care - OxfordOxford, NC, CCN 343814 Rural health clinic Operational/Managerial Control (100%) Apr 15, 2021
Mainstreet Family Care - LibertyLiberty, NC, CCN 343899 Rural health clinic Operational/Managerial Control (100%) Apr 15, 2021
Mainstreet Family Care - TarboroTarboro, NC, CCN 343819 Rural health clinic Operational/Managerial Control (100%) Apr 15, 2021

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1093384497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 1ST AVE N UNIT 3",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031866",
            "telephone_number": "205-545-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 EAST JARMAN ST.",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "31539",
            "telephone_number": "912-209-0239",
            "fax_number": "912-209-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL URGENT CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RURAL URGENT CARE LLC",
        "enumeration_date": "2021-06-21",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "ROCK",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "205-545-5090"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MainStreet Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hazlehurst, GA

Sources for this page

Verify at the official NPI Registry.