NPIMap

Organization Active NPI

Advanced Urgent Care LLC

  • Urgent Care Clinic/Center
  • Braselton, GA
National Provider Identifier
1235614074
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ADVANCED URGENT CARE LLC
Practice address
2620 Old Winder Hwy
Ste. 300
Braselton, GA 30517-6103
Phone
(678) 821-2401
Fax
(678) 821-2210
NPI assigned
Sep 27, 2018
Last updated
Sep 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Saurabh Dhawan, MDNPI 1689893927
Title
Owner
Phone
(678) 821-2401

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 1

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

Addresses

Primary practice location

2620 Old Winder Hwy
Ste. 300
Braselton, GA 30517-6103

Mailing address

6600 Sugarloaf Parkway
Ste. 400 Mailbox 265
Duluth, GA 30097
Phone (678) 821-5401

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181112000024 GA Part B Supplier - Clinic/Group Practice 3870847809 Receives reassigned benefits from 12 practitioners
Practice locations: Duluth, GA; Cumming, GA; Braselton, GA

National Provider Directory

National Provider Directory

Locations

5610 Bethelview Rd
Ste 500A
Cumming, GA 30040
Phone (678) 821-5376

2320 Peachtree Industrial Blvd
Ste 101
Duluth, GA 30097
Phone (678) 821-5377

6600 Sugarloaf Pkwy
Ste 400
Duluth, GA 30097

Practitioners & affiliated clinicians

Practitioners 19

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 19

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1235614074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 SUGARLOAF PARKWAY",
            "address_2": "STE. 400 MAILBOX 265",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "30097",
            "telephone_number": "678-821-5401",
            "fax_number": "678-821-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 OLD WINDER HWY",
            "address_2": "STE. 300",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305176103",
            "telephone_number": "678-821-2401",
            "fax_number": "678-821-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-27",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "DHAWAN",
        "authorized_official_first_name": "SAURABH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-821-2401",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braselton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.