Organization Active NPI

Ejese Healthcare, PC

Doing business as Ejese Urgent Care Center

  • Adult Medicine Physician
  • Villa Rica, GA
National Provider Identifier
1093800823
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
EJESE HEALTHCARE, PC
Doing business as
Ejese Urgent Care Center
Practice address
125 Commons Way Ste 203
Villa Rica, GA 30180-7041
Phone
(770) 456-6118
Fax
(770) 456-6227
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
James K Irungu
Title
Billing Contact
Phone
(770) 456-6118

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 055684 GA
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

125 Commons Way Ste 203
Villa Rica, GA 30180-7041

Mailing address

125 Commons Way Ste 203
Villa Rica, GA 30180-7041
Phone (770) 456-6118

Other names 1

  • EJESE URGENT CARE CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

202 Croft St
Carrollton, GA 30117
Phone (770) 834-2255

Practitioners & affiliated clinicians

Practitioners 1

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1093800823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 COMMONS WAY STE 203",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301807041",
            "telephone_number": "770-456-6118",
            "fax_number": "770-456-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 COMMONS WAY STE 203",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301807041",
            "telephone_number": "770-456-6118",
            "fax_number": "770-456-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EJESE HEALTHCARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "IRUNGU",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BILLING CONTACT",
        "authorized_official_telephone_number": "770-456-6118"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "055684",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EJESE URGENT CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Villa Rica, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.