NPIMap

Organization Active NPI

Pickens Urgent Care LLC

  • Primary Care Clinic/Center
  • Jasper, GA
National Provider Identifier
1326645573
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PICKENS URGENT CARE LLC
Practice address
744 Noah Dr Ste 108-109
Jasper, GA 30143-8705
Phone
(706) 692-0119
NPI assigned
Oct 1, 2020
Organization subpart
Yes
Parent organization
PICKENS URGENT CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Authorized official

Name
Jesus Vazquez-FigueroaNPI 1982918678
Title
Owner
Phone
(404) 984-8357

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

744 Noah Dr Ste 108-109
Jasper, GA 30143-8705

Mailing address

790 Champions Club Dr
Alpharetta, GA 30004-6955
Phone (706) 692-0119

National Provider Directory

National Provider Directory
Tax ID family
Pickens Urgent Care LLC2 organizations share this tax ID, including this one
Part of
Pickens Urgent Care LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1326645573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 CHAMPIONS CLUB DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046955",
            "telephone_number": "706-692-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 NOAH DR STE 108-109",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301438705",
            "telephone_number": "706-692-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKENS URGENT CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PICKENS URGENT CARE LLC",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ-FIGUEROA",
        "authorized_official_first_name": "JESUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-984-8357"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.