Med Now Urgent Care, LLC
Organization Active NPI Urgent Care Clinic/Center · Evans, GA
NPI 1245475771 · NPPES record last updated Mar 7, 2017
Key facts
- NPI
- 1245475771
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- MED NOW URGENT CARE, LLC
- Practice address
- 104 N Belair Rd Suite 101
Evans, GA 30809 - Phone
- (706) 922-3669
- Fax
- (706) 364-7971
- NPI assigned
- Dec 12, 2008
- Organization subpart
- No
Authorized official
- Name
- William M. Newton, MD
- Title
- Owner
- Phone
- (706) 922-3669
Practitioners 39
-
Lucas Howard Davis, M.D.
-
Kenneth L Grotz, MD
-
Susan H Land, M.D.
-
Andre Dwayne Miller, M.D.
-
Samantha Graham Otis, FNP-C
-
Christopher Thomas Schiffbauer, NP-C, APRN
-
Brett Wallentine, MD
-
David A Teer, M.D.
-
Angela Marie Barco, MSN, ARNP, NP-C
-
Stanley P. Coe, MD
-
Sreevalli Dega, MD
-
Edward Clark Garner, M.D.
-
Hugh W Hall, MD
-
Fanta Elizabeth Kasiah, M.D.
-
Travis C Konzelman, AGNP
-
Rebecca Meek, FNP
-
William Joseph Meek II, NP-C
-
Deborah Packer, MD
-
Chasity G Rabun, NP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1096815 | Med Now Urgent Care LLC | Certificate of waiver | Mar 11, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090608000055 | GA | Part B Supplier - Clinic/Group Practice | 5799835153 |
Receives reassigned benefits from 36 practitioners Practice locations: Augusta, GA; Evans, GA; Grovetown, GA |
National Provider Directory
Locations
2030 Walton Way
Augusta, GA 30904
Phone (706) 738-1925
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Urgent Care Clinic/Center | 261QU0200X | GA | Yes |
Addresses
Primary practice location
104 N Belair Rd Suite 101
Evans, GA 30809
Mailing address
104 N Belair Rd Suite 101
Evans, GA 30809
Phone (706) 922-3669
Other providers in Evans, GA
- Latoya McKinnon
- Wanda Yvette McLean
- Amisha Mornee McMillan
- Sandra Diane McSpadden
- Timothy Edwards Mecredy
- Medequip Health Corp
- Crystal Nicole Meeks
- Linda K Meister
- Tyler Melvin
- Christina Lynn Rocker Merchant
All providers in Evans, GA · Urgent Care Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.