NPIMap

Organization Active NPI

Fastmed Urgent Care PC

  • General Practice Physician
  • Charlotte, NC
National Provider Identifier
1154624831
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
FASTMED URGENT CARE PC
Practice address
2728 W Mallard Creek Church Rd
Suite 300
Charlotte, NC 28262-2308
Phone
(980) 218-1860
Fax
(704) 910-4489
NPI assigned
Dec 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Authorized official

Name
Jason Williams, MPAS, PHD
Title
Ceo, Eastern Region
Phone
(919) 550-0821

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2728 W Mallard Creek Church Rd
Suite 300
Charlotte, NC 28262-2308

Mailing address

935 Shotwell Rd
Suite 108
Clayton, NC 27520-5597
Phone (919) 550-0821

National Provider Directory

National Provider Directory
Tax ID family
Urgent Cares of America NC85 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

2021 Creekside Landing Dr
#C
Apex, NC 27502

100 Cornerstone Dr
Cary, NC 27519
Phone (919) 460-1921

3420 Ten Ten Rd
Ste 318
Cary, NC 27518
Phone (919) 362-5871

3007 Town Center Dr
Ste 100
Fayetteville, NC 28306
Phone (910) 354-1281

220 US 70 Hwy W
Garner, NC 27529
Phone (919) 779-7890

315 Greenville Blvd SE
Ste 100
Greenville, NC 27858
Phone (252) 917-5621

825 Spartanburg Hwy
Ste 17
Hendersonville, NC 28792
Phone (828) 210-2835

825 Blowing Rock Blvd
#B
Lenoir, NC 28645
Phone (828) 991-0999

5080 Kahn Dr
Ste 120
Lumberton, NC 28358
Phone (910) 738-5588

2242 W Roosevelt Blvd
Monroe, NC 28110
Phone (704) 220-1904

501 N Harrington St
Raleigh, NC 27603
Phone (984) 255-2107

107 W Hargett St
#1
Raleigh, NC 27601

550 N Winstead Ave
Rocky Mount, NC 27804
Phone (252) 451-3411

724 S Horner Blvd
Sanford, NC 27330
Phone (919) 776-6767

5214 Market St
Wilmington, NC 28405
Phone (910) 782-3284

2503 Forest Hills Rd W
Ste B
Wilson, NC 27893
Phone (252) 991-0555

310 S Stratford Rd
#120
Winston Salem, NC 27103
Phone (336) 714-5399

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1154624831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 SHOTWELL RD",
            "address_2": "SUITE 108",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205597",
            "telephone_number": "919-550-0821",
            "fax_number": "919-550-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 W MALLARD CREEK CHURCH RD",
            "address_2": "SUITE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622308",
            "telephone_number": "980-218-1860",
            "fax_number": "704-910-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASTMED URGENT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO, EASTERN REGION",
        "authorized_official_telephone_number": "919-550-0821",
        "authorized_official_credential": "MPAS, PHD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.