Fasttrack Immediate Care of Albany

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

GA48063 Issued in GA

Legal business name

FASTTRACK IMMEDIATE CARE OF ALBANY

Practice address

2822 Nottingham Way
Albany, GA 31707-7629

Phone

(229) 496-1193

NPI assigned

Oct 6, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Jared Deraney, SOLE MEMBER

Title

Owner

Phone

(888) 728-0882

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Brandy Bassett, CCC-SLP

  • Speech-Language Pathologist
  • Seattle, WA
  • NPI 1164595716
  NPD (past)

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1235532284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4380",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300234380",
            "telephone_number": "888-728-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2822 NOTTINGHAM WAY",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317077629",
            "telephone_number": "229-496-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASTTRACK IMMEDIATE CARE OF ALBANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "DERANEY",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-728-0882",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "SOLE MEMBER"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "GA",
            "license": "GA48063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family First Medical Associates PC
• Family Life Counseling Center, Inc
• Eric C Fan, D.O.
• Kuo-Kang Fang, M. D.
• Fastrack Urgent Care LLC
• Vadley Faugue, MD
• Sheena Elois Favors, D.O, M.S
• Laura Stubbs Fay, MD
• William Meade Feild Jr., DDS
• Ashleigh Symenski Felpel, D.O.

• General Practice Physician in Albany, GA
• Providers in Albany, 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 Oct 6, 2014; 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.