NPIMap

Organization Active NPI

Lentz Urgent Care & Family Med, Inc

  • Family Medicine Physician
  • Jesup, GA
National Provider Identifier
1265836472
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LENTZ URGENT CARE & FAMILY MED, INC
Practice address
182 Sunset Blvd
Jesup, GA 31545-0401
Phone
(912) 385-2102
Fax
(912) 385-2180
NPI assigned
Oct 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Authorized official

Name
Mr. Randy Scott Lentz, MDNPI 1205832227
Title
Incorporator
Phone
(912) 424-0244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

182 Sunset Blvd
Jesup, GA 31545-0401

Mailing address

182 Sunset Blvd
Jesup, GA 31545-0401
Phone (912) 385-2102

National Provider Directory

National Provider Directory
Tax ID family
Lentz Urgent Care Family Med Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

182 Sunset Blvd
Jesup, GA 31545
Phone (912) 385-2102

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1265836472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 SUNSET BLVD",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450401",
            "telephone_number": "912-385-2102",
            "fax_number": "912-385-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 SUNSET BLVD",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450401",
            "telephone_number": "912-385-2102",
            "fax_number": "912-385-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENTZ URGENT CARE & FAMILY MED, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "LENTZ",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "INCORPORATOR",
        "authorized_official_telephone_number": "912-424-0244",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jesup, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.