Wetumpka Urgent Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

WETUMPKA URGENT CARE LLC

Practice address

11 Cambridge Drive
Wetumpka, AL 36093

Phone

(334) 567-8633

NPI assigned

Feb 9, 2010

Last updated

Feb 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael D Bruce

Title

Ceo

Phone

(334) 567-4311

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Ivycreek of Elmore LLC

  dba River Region Family Medicine

  • Rural Health Clinic/Center
  • Wetumpka, AL
  • NPI 1396066650

  Member Of

  NPD member

Locations

Practitioners 159

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.

• John Ryan Aldridge, C.R.N.P.

  • Acute Care Nurse Practitioner
  • Montgomery, AL
  • NPI 1902150089
  Medicare reassignment Care Compare group NPD
• Bibb Allen Jr., MD

  • Diagnostic Radiology Physician
  • Birmingham, AL
  • NPI 1538164785
  Medicare reassignment Care Compare group NPD
• Darcy Ann Blankenship, MD

  • Family Medicine Physician
  • Wetumpka, AL
  • NPI 1881176964
  Medicare reassignment Care Compare group NPD
• Lyndsay Ewing, DO

  • Family Medicine Physician
  • Montgomery, AL
  • NPI 1982259065
  Medicare reassignment Care Compare group NPD
• Tasha Rae Garrett, MD

  • Family Medicine Physician
  • Montgomery, AL
  • NPI 1588144075
  Medicare reassignment Care Compare group NPD
• Charles V Gaston Jr., M.D.

  • Vascular & Interventional Radiology Physician
  • Mobile, AL
  • NPI 1073990644
  Medicare reassignment Care Compare group NPD
• Nathan Ross Hewlett, M.D.

  • Diagnostic Radiology Physician
  • Montgomery, AL
  • NPI 1770927287
  Medicare reassignment Care Compare group NPD
• Matthew Carl Larrison, MD

  • Diagnostic Radiology Physician
  • Birmingham, AL
  • NPI 1881659407
  Medicare reassignment Care Compare group NPD
• Desmin Marie Milner

  • Diagnostic Radiology Physician
  • Birmingham, AL
  • NPI 1740549187
  Medicare reassignment Care Compare group NPD
• Mathieu Nader, M.D.

  • Diagnostic Radiology Physician
  • Alexander City, AL
  • NPI 1306003579
  Medicare reassignment Care Compare group NPD
• Justin Alan Owens, DO

  • Diagnostic Radiology Physician
  • Birmingham, AL
  • NPI 1457858698
  Medicare reassignment Care Compare group NPD
• Leslie Pendergrass, NP

  • Family Nurse Practitioner
  • Alabaster, AL
  • NPI 1639541857
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1194057554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CAMBRIDGE DRIVE",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "36093",
            "telephone_number": "334-567-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CAMBRIDGE DRIVE",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "36093",
            "telephone_number": "334-567-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WETUMPKA URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "334-567-4311"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wetumpka Family Practice PA
• Wetumpka Health and Rehabilitation, LLC
• Wetumpka Hospitalists, P.C.
• Wetumpka Medical Center
• Wetumpka Pharmacy (Wetumpka Pharmacy, LLC)
• Beth Whatley, MS LPC
• Patricia Dianne White McClanahan, PH.D.
• Holly Worden Wilburn, MSN, CRNP, WHNP-BC
• Thomas Henry Wilder, LPC
• Marlene Wilson-Lavalley, NP-C

• Urgent Care Clinic/Center in Wetumpka, AL
• Providers in Wetumpka, AL by specialty
• Urgent Care Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.