Community Primary & Urgent

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COMMUNITY PRIMARY & URGENT

Practice address

244 Ledford Street
Pembroke, GA 31321-3132

Phone

(912) 653-4357

NPI assigned

Nov 26, 2018

Last updated

Jun 23, 2023By 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

Mark Anderson, NP-CNPI 1386112456

Title

Provider

Phone

(912) 433-4707

Specialties & licenses 1

Addresses

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.

• Mark Anderson, NP-C

  • Family Nurse Practitioner
  • Statesboro, GA
  • NPI 1386112456
  NPD Authorized official

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1316416043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 LEDFORD STREET",
            "city": "PEMBROKE",
            "state": "GA",
            "postal_code": "31321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 LEDFORD STREET",
            "city": "PEMBROKE",
            "state": "GA",
            "postal_code": "313213132",
            "telephone_number": "912-653-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PRIMARY & URGENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-26",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "912-433-4707",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan County Health Department
• Bryan County Shcool System
• Joanne S Burnsed, RN
• Claire Busante
• Teresa U Cayton, NP
• Curtis V. Cooper Primary Health Care Inc.
• Effingham Rehab Services, LLC (CORA Physical Therapy - Pembroke)
• Sharon Estill, RN
• Gateway Behavioral Health Services
• Courtney Hare, PT, DPT

• Family Medicine Physician in Pembroke, GA
• Providers in Pembroke, 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 Jun 23, 2023; 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.