NPIMap

Organization Active NPI

Travel Center Clinics

Doing business as Professional Drivers Medical Depot

  • Primary Care Clinic/Center
  • Atlanta, GA
National Provider Identifier
1114168903
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
TRAVEL CENTER CLINICS
Doing business as
Professional Drivers Medical Depot
Practice address
3181 Donald Lee Hollowell Pkwy NW
Atlanta, GA 30318-9002
Phone
(678) 733-8301
NPI assigned
Mar 9, 2009
Last updated
Mar 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Authorized official

Name
Mike Crabtree
Title
Ceo
Phone
(853) 531-1542

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary
Urgent Care Clinic/Center 261QU0200X NU

Addresses

Primary practice location

3181 Donald Lee Hollowell Pkwy NW
Atlanta, GA 30318-9002

Mailing address

2210 Award Winning Way
Knoxville, TN 37932-1976
Phone (865) 531-1542

Other names 1

  • Professional Drivers Medical Depot Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Professional Drivers Medical Depot7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3181 Donald Lee Hollowell Pkwy NW
Atlanta, GA 30318
Phone (678) 733-8301

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1114168903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 AWARD WINNING WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321976",
            "telephone_number": "865-531-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 DONALD LEE HOLLOWELL PKWY NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303189002",
            "telephone_number": "678-733-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVEL CENTER CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "CRABTREE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "853-531-1542"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Drivers Medical Depot",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.