C19 Rapid Testing Solution LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

C19 RAPID TESTING SOLUTION LLC

Practice address

200 Park View CT
Lizella, GA 31052-3621

Phone

(786) 351-5729

NPI assigned

Aug 26, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy Jason White, DONPI 1780966515

Title

Organizer

Phone

(786) 351-5729

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jeremy Jason White, DO/PHD

  • Emergency Medicine Physician
  • Lagrange, GA
  • NPI 1780966515
  NPD (past) Authorized official

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1225705353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 HERITAGE DR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368047608",
            "telephone_number": "786-351-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PARK VIEW CT",
            "city": "LIZELLA",
            "state": "GA",
            "postal_code": "310523621",
            "telephone_number": "786-351-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C19 RAPID TESTING SOLUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "786-351-5729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherika C Adkins
• Aria London Boutique
• Norma Ray Bivins, LTRS
• Rachael Briones, LCSW
• Janice Bryant
• Sabrina Renee Coneway
• Amber Cryer
• Barbara Cummings
• Salvatore John Dellacona, M.D.
• Melita Dixon, RN, CLC

• General Practice Physician in Lizella, GA
• Providers in Lizella, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.