Organization Active NPI

Highland Urgent Care and Family Medicine LLC

  • Urgent Care Clinic/Center
  • Atlanta, GA
National Provider Identifier
1225352701
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
G42176 Issued in GA
Legal business name
HIGHLAND URGENT CARE AND FAMILY MEDICINE LLC
Doing business as
Highland urgent care and family medicine llc
Practice address
920 Ponce de Leon Ave NE
Atlanta, GA 30306-4212
Phone
(404) 815-1957
Fax
(404) 815-1954
NPI assigned
Mar 26, 2010
Last updated
Feb 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Authorized official

Name
Dr. Nicholas Jean Beauleiu, M.D.
Title
Physician
Phone
(404) 815-1957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X G42176 GA Primary

Addresses

Primary practice location

920 Ponce de Leon Ave NE
Atlanta, GA 30306-4212

Mailing address

920 Ponce de Leon Ave NE
Atlanta, GA 30306-4212
Phone (404) 815-1957

Other names 1

  • Highland urgent care and family medicine llc Doing business as

National Provider Directory

National Provider Directory

Locations

902 Ponce de Leon
Atlanta, GA 30306
Phone (404) 815-1954

902 Ponce de Leon
Atlanta, GA 30306
Phone (404) 815-1954

920 Ponce de Leon Ave NE
Atlanta, GA 30306
Phone (404) 815-1957

NPI Registry JSON

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1225352701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 PONCE DE LEON AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303064212",
            "telephone_number": "404-815-1957",
            "fax_number": "404-815-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 PONCE DE LEON AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303064212",
            "telephone_number": "404-815-1957",
            "fax_number": "404-815-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND URGENT CARE AND FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "BEAULEIU",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "404-815-1957",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "GA",
            "license": "G42176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland urgent care and family medicine llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.