Organization Active NPI

Amcare Enterprises Inc

  • Primary Care Clinic/Center
  • Fayetteville, GA
National Provider Identifier
1154924637
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 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
Last updated
Mar 27, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
AMCARE ENTERPRISESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Wayne Williams, MDNPI 1588691612
Title
Medical Director
Phone
(770) 964-0611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

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

National Provider Directory

National Provider Directory
Part of
Amcare Enterprises Inc

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1154924637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 HIGHWAY 314 STE E",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147832",
            "telephone_number": "770-964-0611",
            "fax_number": "770-964-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 HIGHWAY 314 STE E",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147832",
            "telephone_number": "770-964-0611",
            "fax_number": "770-964-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMCARE ENTERPRISES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMCARE ENTERPRISES",
        "enumeration_date": "2020-11-18",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "770-964-0611",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.