Organization Active NPI

Immediate Medcare of Riverstone,LLC

  • Urgent Care Clinic/Center
  • Blue Ridge, GA
National Provider Identifier
1104954106
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
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

Updated by the provider on Aug 21, 2007

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.