NPIMap

Organization Active NPI

Summit Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Fayetteville, GA
National Provider Identifier
1326405903
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
66151 Issued in GA
Legal business name
SUMMIT URGENT CARE, LLC
Practice address
749 Lanier Ave W
Fayetteville, GA 30214-7658
Phone
(770) 252-7552
Fax
(678) 904-2188
NPI assigned
Jan 27, 2016
Last updated
Jan 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Authorized official

Name
Mr. Jimmy Karvelas
Title
Cfo
Phone
(770) 252-7552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 66151 GA Primary

Addresses

Primary practice location

749 Lanier Ave W
Fayetteville, GA 30214-7658

Mailing address

1825 Highway 34 E
Suite 1200
Newnan, GA 30265-6423
Phone (770) 252-7552

National Provider Directory

National Provider Directory
Tax ID family
Summit Urgent Care2 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.

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1326405903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 HIGHWAY 34 E",
            "address_2": "SUITE 1200",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656423",
            "telephone_number": "770-252-7552",
            "fax_number": "678-904-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 LANIER AVE W",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147658",
            "telephone_number": "770-252-7552",
            "fax_number": "678-904-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "KARVELAS",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-252-7552",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "GA",
            "license": "66151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.