Organization Active NPI

Martinez Urgent Care

  • Urgent Care Clinic/Center
  • Martinez, GA
National Provider Identifier
1184810822
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
027003 Issued in GA
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

Updated by the provider on Dec 23, 2022

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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20040528000442 GA Part B Supplier - Clinic/Group Practice 3476534041 Receives reassigned benefits from 2 practitioners
Practice locations: Martinez, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0263046Martinez Urgent Care210 Oak Street, North, Martinez, GA 30907Provider-performed microscopySep 13, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.