Organization Active NPI

Qffcc Americus LLC

  • Physician Assistant
  • Americus, GA
National Provider Identifier
1124502489
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
QFFCC AMERICUS LLC
Practice address
116 W Church St
Americus, GA 31709-3508
Phone
(229) 928-2299
NPI assigned
Sep 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Authorized official

Name
Bradford Cotten, DC
Title
Owner
Phone
(229) 928-2299

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

116 W Church St
Americus, GA 31709-3508

Mailing address

2601 Stuart Ave
Albany, GA 31707-1664
Phone (229) 405-8900

Other practice location 1

2601 Stuart Ave
Albany, GA 31707-1664
Phone (122) 940-5890

Other names 1

  • Quick Fix Family Convenient Care Doing business as

National Provider Directory

National Provider Directory

Locations

2601 Stuart Ave
Albany, GA 31707
Phone (229) 405-8900

NPI Registry JSON

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537488000000",
    "number": "1124502489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 STUART AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317071664",
            "telephone_number": "229-405-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W CHURCH ST",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093508",
            "telephone_number": "229-928-2299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Stuart Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "GA",
            "postal_code": "317071664",
            "country_code": "US",
            "telephone_number": "122-940-5890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "QFFCC AMERICUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-09-21",
        "status": "A",
        "authorized_official_last_name": "COTTEN",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-928-2299",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quick Fix Family Convenient Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Americus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.