Active NPI
Martinez Urgent Care
- Urgent Care Clinic/Center
- Martinez, GA
National Provider Identifier
1184810822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- 027003
- Legal business name
- MARTINEZ URGENT CARE
- Practice address
- 210 Oak St
Martinez, GA 30907-5139 - Phone
- (706) 651-9208
- Fax
- (706) 863-2587
- NPI assigned
- Sep 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kate Danilovich
- Title
- Office Manager
- Phone
- (706) 855-1755
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | 027003 | GA | Primary |
Addresses
Primary practice location
210 Oak St
Martinez, GA 30907-5139
Mailing address
210 Oak St
Martinez, GA 30907-5139
Phone (706) 651-9208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0263046 | Martinez Urgent Care | Provider-performed microscopy | Sep 13, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Martinez, GA
- NPI 1740204791
-
- Family Nurse Practitioner
- Martinez, GA
- NPI 1639540297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671753600000",
"number": "1184810822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 OAK ST",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309075139",
"telephone_number": "706-651-9208",
"fax_number": "706-863-2587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 OAK ST",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309075139",
"telephone_number": "706-651-9208",
"fax_number": "706-863-2587"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTINEZ URGENT CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-17",
"last_updated": "2022-12-23",
"certification_date": "2022-12-23",
"status": "A",
"authorized_official_last_name": "DANILOVICH",
"authorized_official_first_name": "KATE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "706-855-1755",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "GA",
"license": "027003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Martinez, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.