Jesup Health Care and Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JESUP HEALTH CARE AND FAMILY PRACTICE

Doing business as

Jesup Urgent Care

Practice address

212 S 1St St
Ste 2
Jesup, GA 31545-1136

Phone

(912) 385-2146

Fax

(912) 385-2156

NPI assigned

Jan 14, 2013

Last updated

Jan 14, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Adnan Alam

Title

Owner

Phone

(912) 385-2146

Specialties & licenses 1

Addresses

Other names 1

• Jesup Urgent Care Doing business as

Locations

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1316284102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 762",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315980762",
            "telephone_number": "912-385-2146",
            "fax_number": "912-385-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S 1ST ST",
            "address_2": "STE 2",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315451136",
            "telephone_number": "912-385-2146",
            "fax_number": "912-385-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESUP HEALTH CARE AND FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "ALAM",
        "authorized_official_first_name": "ADNAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-385-2146",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jesup Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca James, LPC, NCC
• Jeffrey L. Harris, MD, PC (Wayne Obstetrics and Gynecology)
• Oliver H Jenkins, MD
• Victoria I Jeske, DPT, PT
• Jesup Emergency Services, LLC
• Jesup Healthcare LLC (Jesup HealthCare)
• Jesup Operator LLC (Jesup Health and Rehab)
• Jesup Pediatrics, P.C.
• Jesup Ridge of Journey LLC
• Jesupcare Anesthesia, PC

• Family Medicine Physician in Jesup, GA
• Providers in Jesup, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.