Active NPI
Immediate Medcare of Riverstone,LLC
- Urgent Care Clinic/Center
- Blue Ridge, GA
National Provider Identifier
1104954106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- IMMEDIATE MEDCARE OF RIVERSTONE,LLC
- Practice address
- 101 Riverstone Vis
Blue Ridge, GA 30513-6648 - Phone
- (706) 258-4400
- Fax
- (706) 258-4404
- NPI assigned
- Mar 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jordan T Rice
- Title
- Ceo
- Phone
- (404) 467-4440
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
101 Riverstone Vis
Blue Ridge, GA 30513-6648
Mailing address
101 Riverstone Vista
Blue Ridge, GA 30513
Phone (706) 258-4400
National Provider Directory
National Provider DirectoryLocations
101 Riverstone Vis
Ste 111
Blue Ridge, GA 30513
Phone (706) 258-4400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187654400000",
"number": "1104954106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 RIVERSTONE VISTA",
"city": "BLUE RIDGE",
"state": "GA",
"postal_code": "30513",
"telephone_number": "706-258-4400",
"fax_number": "706-258-4404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 RIVERSTONE VIS",
"city": "BLUE RIDGE",
"state": "GA",
"postal_code": "305136648",
"telephone_number": "706-258-4400",
"fax_number": "706-258-4404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMMEDIATE MEDCARE OF RIVERSTONE,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-01",
"last_updated": "2007-08-21",
"status": "A",
"authorized_official_last_name": "RICE",
"authorized_official_first_name": "JORDAN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "404-467-4440",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blue Ridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.