Organization Active NPI

Acsh Urgent Care of Georgia, LLC

  • Urgent Care Clinic/Center
  • Locust Grove, GA
National Provider Identifier
1174943112
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ACSH URGENT CARE OF GEORGIA, LLC
Practice address
4861 Bill Gardner Pkwy
Locust Grove, GA 30248-3644
Phone
(770) 626-5740
Fax
(770) 626-5765
NPI assigned
Apr 17, 2014
Last updated
Aug 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Authorized official

Name
Mr. Norman Winland
Title
Chief Financial Officer
Phone
(404) 465-1000

Specialties & licenses 1

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

Addresses

Primary practice location

4861 Bill Gardner Pkwy
Locust Grove, GA 30248-3644

Mailing address

PO Box 101047
Atlanta, GA 30392-1047
Phone (404) 465-1000

National Provider Directory

National Provider Directory

Locations

5429 Lyndon B Johnson Fwy
Dallas, TX 75240

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1174943112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101047",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303921047",
            "telephone_number": "404-465-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4861 BILL GARDNER PKWY",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483644",
            "telephone_number": "770-626-5740",
            "fax_number": "770-626-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACSH URGENT CARE OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "WINLAND",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "404-465-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Locust Grove, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.