Organization Active NPI

Quick Care Clinic Medical Group Inc.

  • Clinic/Center
  • Marietta, GA
National Provider Identifier
1245056480
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
QUICK CARE CLINIC MEDICAL GROUP INC.
Practice address
1400 S Marietta Pkwy SE Ste 203
Marietta, GA 30067-7844
Phone
(678) 935-9939
Fax
(678) 935-9974
NPI assigned
Dec 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Ms. Tanisha Hodge
Title
Cfo
Phone
(678) 935-9939

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1400 S Marietta Pkwy SE Ste 203
Marietta, GA 30067-7844

Mailing address

1400 S Marietta Pkwy SE Ste 203
Marietta, GA 30067-7844
Phone (678) 935-9939

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1245056480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S MARIETTA PKWY SE STE 203",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300677844",
            "telephone_number": "678-935-9939",
            "fax_number": "678-935-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S MARIETTA PKWY SE STE 203",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300677844",
            "telephone_number": "678-935-9939",
            "fax_number": "678-935-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUICK CARE CLINIC MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "TANISHA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "678-935-9939",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Dec 5, 2024; 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.