NPIMap

Organization Active NPI

Afc Physicians of Georgia Urgent Care, PC

  • Urgent Care Clinic/Center
  • Marietta, GA
National Provider Identifier
1225617525
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
AFC PHYSICIANS OF GEORGIA URGENT CARE, PC
Practice address
3481 Ernest Barrett Pkwy
Marietta, GA 30064-2703
Phone
(678) 348-5119
Fax
(678) 348-5120
NPI assigned
Apr 5, 2021
Last updated
Jun 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Moinuddin Kazi, MDNPI 1487746483
Title
Owner
Phone
(205) 403-8902

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU
Primary Care Clinic/Center 261QP2300X NU
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

3481 Ernest Barrett Pkwy
Marietta, GA 30064-2703

Mailing address

3700 Cahaba Beach Rd
Birmingham, AL 35242-5225
Phone (205) 421-2151

Other practice location 1

6440 Bells Ferry Rd
Woodstock, GA 30189-6115
Phone (770) 200-1220

Other practice location 2

5610 Roswell Rd
Sandy Springs, GA 30342-1163
Phone (678) 916-2129

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kbrasher@americanfamilycare.com Direct
Direct Messaging Address kreeves@americanfamilycare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210817000399 GA Part B Supplier - Clinic/Group Practice 9436554318 Receives reassigned benefits from 13 practitioners
Practice locations: Marietta, GA; Roswell, GA; Woodstock, GA

National Provider Directory

National Provider Directory

Locations

6440 Bells Ferry Rd
Woodstock, GA 30189
Phone (770) 200-1220

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1225617525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 CAHABA BEACH RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425225",
            "telephone_number": "205-421-2151",
            "fax_number": "205-263-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3481 ERNEST BARRETT PKWY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300642703",
            "telephone_number": "678-348-5119",
            "fax_number": "678-348-5120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6440 Bells Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301896115",
            "country_code": "US",
            "telephone_number": "770-200-1220",
            "fax_number": "770-200-1224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5610 Roswell Rd",
            "address_purpose": "LOCATION",
            "city": "Sandy Springs",
            "state": "GA",
            "postal_code": "303421163",
            "country_code": "US",
            "telephone_number": "678-916-2129",
            "fax_number": "678-916-2123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AFC PHYSICIANS OF GEORGIA URGENT CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "KAZI",
        "authorized_official_first_name": "MOINUDDIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-403-8902",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbrasher@americanfamilycare.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3481 Ernest Barrett Pkwy",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300642703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kreeves@americanfamilycare.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3481 Ernest Barrett Pkwy",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300642703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.