NPIMap

Amcare Enterprises Inc

Organization Active NPI Primary Care Clinic/Center · Fayetteville, GA

NPI 1154924637 · NPPES record last updated Mar 27, 2024

Key facts

NPI
1154924637
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Clinic/Center 261QP2300X
Legal business name
AMCARE ENTERPRISES INC
Practice address
284 Highway 314 Ste E
Fayetteville, GA 30214-7832
Phone
(770) 964-0611
Fax
(770) 964-0608
NPI assigned
Nov 18, 2020
Organization subpart
Yes
Parent organization (as reported)
AMCARE ENTERPRISES

Authorized official

Name
Wayne Williams, MD
Title
Medical Director
Phone
(770) 964-0611

National Provider Directory

Part of
Amcare Enterprises Inc

Locations

284 Highway 314
Ste E
Fayetteville, GA 30214
Phone (770) 964-0610

105 Saint Stephens Ct
Ste F
Tyrone, GA 30290
Phone (770) 964-0611

Specialties & licenses

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

Addresses

Primary practice location

284 Highway 314 Ste E
Fayetteville, GA 30214-7832

Mailing address

284 Highway 314 Ste E
Fayetteville, GA 30214-7832
Phone (770) 964-0611

Other identifiers

IdentifierTypeStateIssuer
000272379TMedicaidGA

Other providers in Fayetteville, GA

All providers in Fayetteville, GA · Primary Care Clinic/Center in Georgia

Sources for this page

Verify at the official NPI Registry.