Organization Active NPI

MLK Urgent Care

  • Urgent Care Clinic/Center
  • Atlanta, GA
National Provider Identifier
1346654209
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MLK URGENT CARE
Practice address
2457 Martin Luther King Jr Dr SW
Suite a
Atlanta, GA 30311-1712
Phone
(404) 458-4568
NPI assigned
Jun 18, 2014
Organization subpart
Yes
Parent organization
GM MEDICAL SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Authorized official

Name
Mr. Donald Williams
Title
Administrated Director
Phone
(504) 421-1909

Specialties & licenses 1

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

Addresses

Primary practice location

2457 Martin Luther King Jr Dr SW
Suite a
Atlanta, GA 30311-1712

Mailing address

2457 Martin Luther King Jr Dr SW
Suite a
Atlanta, GA 30311-1712

National Provider Directory

National Provider Directory
Tax ID family
GM Medical Services LLC3 organizations share this tax ID, including this one
Part of
GM Medical Services LLC

Other organizations with this tax ID 2

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": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1346654209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2457 MARTIN LUTHER KING JR DR SW",
            "address_2": "SUITE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303111712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2457 MARTIN LUTHER KING JR DR SW",
            "address_2": "SUITE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303111712",
            "telephone_number": "404-458-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLK URGENT CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GM MEDICAL SERVICES, LLC",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "ADMINISTRATED DIRECTOR",
        "authorized_official_telephone_number": "504-421-1909",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.