Organization Active NPI

McDonough Walk-in Healthcare Center

  • Primary Care Clinic/Center
  • McDonough, GA
National Provider Identifier
1245826619
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MCDONOUGH WALK-IN HEALTHCARE CENTER
Practice address
526 Bentley Way
McDonough, GA 30253-3762
Phone
(678) 979-7382
NPI assigned
Dec 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Ms. Sandy T. Zachery, FNP-BC
Title
Nurse Practitioner, Owner
Phone
(678) 979-7382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

526 Bentley Way
McDonough, GA 30253-3762

Mailing address

526 Bentley Way
McDonough, GA 30253-3762
Phone (678) 979-7382

National Provider Directory

National Provider Directory

Locations

1113 McDonough Pl
McDonough, GA 30253
Phone (678) 979-7382

NPI Registry JSON

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1245826619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 BENTLEY WAY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533762",
            "telephone_number": "678-979-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 BENTLEY WAY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533762",
            "telephone_number": "678-979-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDONOUGH WALK-IN HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "ZACHERY",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "NURSE PRACTITIONER, OWNER",
        "authorized_official_telephone_number": "678-979-7382",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.