Port City Urgent Care L.L.C.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

028786 Issued in GA

Legal business name

PORT CITY URGENT CARE L.L.C.

Practice address

502 Wheat Ave
Bainbridge, GA 39819-4325

Phone

(229) 243-1045

Fax

(229) 243-1046

NPI assigned

May 12, 2009

Organization subpart

No

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

Authorized official

Name

James C. Higginbotham, D.O.

Title

Owner

Phone

(229) 243-1045

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1306070875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 WHEAT AVE",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194325",
            "telephone_number": "229-243-1045",
            "fax_number": "229-243-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 WHEAT AVE",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194325",
            "telephone_number": "229-243-1045",
            "fax_number": "229-243-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT CITY URGENT CARE L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "HIGGINBOTHAM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-243-1045",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "GA",
            "license": "028786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Phillips, SLP
• Port City Family Dental Associates
• Port City Family Medicine, L.L.C.
• Port City Medical Associates Inc (Bainbridge Treatment Center)
• Port City Pulmonary Care, Inc.
• Port Medical Management Inc (The Bridge)
• Jennifer T. Powell
• Zacharey Alan Powell, DNP, FNP-C
• Laura Ashley Pratt, PTA
• Melody Elise Price, LCSW

• Urgent Care Clinic/Center in Bainbridge, GA
• Providers in Bainbridge, GA by specialty
• Urgent Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.