Canton Road Urgent Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

CANTON ROAD URGENT CARE LLC

Practice address

422 Canton Rd
Cumming, GA 30040-2002

Phone

(470) 239-4278

Fax

(470) 253-7533

NPI assigned

Jul 31, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Bennie Brown, DO

Title

Medical Director

Phone

(470) 239-4278

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1225414279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 CANTON RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402002",
            "telephone_number": "470-239-4278",
            "fax_number": "470-253-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 CANTON RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402002",
            "telephone_number": "470-239-4278",
            "fax_number": "470-253-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON ROAD URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BENNIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "470-239-4278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica M Camp, LPC
• Araceli Campa-Reyes, RBT
• Shaneile Anmarie Campbell
• Joshua C Canavan, PHARM D
• Kaylena Blaise Cancro
• Amber Jean Cantrell, MS, OTR/L
• Haley Fain Cantrell, OTR/L
• Mallori Cantrell, PT,DPT
• Patricia Joan Caprara, LPC
• Cardinal Counseling LLC

• Urgent Care Clinic/Center in Cumming, GA
• Providers in Cumming, GA by specialty
• Urgent Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.