NPIMap

Organization Active NPI

BG Clinical Services LLC

  • Urgent Care Clinic/Center
  • Ball Ground, GA
National Provider Identifier
1255069050
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
BG CLINICAL SERVICES LLC
Practice address
470 Valley St Ste 100
Ball Ground, GA 30107-4068
Phone
(678) 364-2230
Fax
(770) 735-8925
NPI assigned
Aug 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Authorized official

Name
Jeff Richardson
Title
Owner
Phone
(678) 364-2230

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

470 Valley St Ste 100
Ball Ground, GA 30107-4068

Mailing address

470 Valley St Ste 100
Ball Ground, GA 30107-4068
Phone (678) 364-2230

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1255069050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 VALLEY ST STE 100",
            "city": "BALL GROUND",
            "state": "GA",
            "postal_code": "301074068",
            "telephone_number": "678-364-2230",
            "fax_number": "770-735-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 VALLEY ST STE 100",
            "city": "BALL GROUND",
            "state": "GA",
            "postal_code": "301074068",
            "telephone_number": "678-364-2230",
            "fax_number": "770-735-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BG CLINICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-364-2230"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ball Ground, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.