Organization Active NPI

Acworth Medical and Respite Care

Doing business as Rapid Care Mobile Clinic

  • Clinic/Center
  • Acworth, GA
National Provider Identifier
1164936217
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ACWORTH MEDICAL AND RESPITE CARE
Doing business as
Rapid Care Mobile Clinic
Practice address
605 Ceremony Way
Acworth, GA 30102-3730
Phone
(404) 667-0533
Fax
(404) 667-0533
NPI assigned
Nov 28, 2017
Last updated
Nov 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

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

Authorized official

Name
Joan A Ohawa, FNP
Title
Family Nurse Practitioner
Phone
(404) 528-8505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X GA Primary

Addresses

Primary practice location

605 Ceremony Way
Acworth, GA 30102-3730

Mailing address

605 Ceremony Way
Acworth, GA 30102-3730
Phone (404) 667-0533

Other names 1

  • Rapid Care Mobile Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

2090 Baker Rd NW
Ste 304170
Kennesaw, GA 30144

NPI Registry JSON

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511827200000",
    "number": "1164936217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 CEREMONY WAY",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301023730",
            "telephone_number": "404-667-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 CEREMONY WAY",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301023730",
            "telephone_number": "404-667-0533",
            "fax_number": "404-667-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACWORTH MEDICAL AND RESPITE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-28",
        "last_updated": "2017-11-28",
        "status": "A",
        "authorized_official_last_name": "OHAWA",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "404-528-8505",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rapid Care Mobile Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; 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.