Organization Active NPI

Lagrange Urgent Care Inc.

  • Emergency Medicine Physician
  • Lagrange, GA
National Provider Identifier
1275730806
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
32920 Issued in GA
Legal business name
LAGRANGE URGENT CARE INC.
Practice address
PO Box 3258
Lagrange, GA 30241-0066
Phone
(706) 884-2232
NPI assigned
Jun 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Al Kelly
Title
Director
Phone
(706) 884-2232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 32920 GA Primary

Addresses

Primary practice location

PO Box 3258
Lagrange, GA 30241-0066

Mailing address

505 Jenkins St
Lagrange, GA 30240-4225
Phone (706) 884-2232

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275730806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 JENKINS ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404225",
            "telephone_number": "706-884-2232",
            "fax_number": "706-884-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 3258",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302410066",
            "telephone_number": "706-884-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGRANGE URGENT CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "706-884-2232",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "32920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.