Organization Active NPI

Castellum Medical Consultants LLC

Doing business as Primetime Urgent Care

  • Urgent Care Clinic/Center
  • Watkinsville, GA
National Provider Identifier
1346858255
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CASTELLUM MEDICAL CONSULTANTS LLC
Doing business as
Primetime Urgent Care
Watkinsville Urgent Care
Practice address
1725 Electric Ave Ste 100D
Watkinsville, GA 30677-2608
Phone
(706) 518-6986
Fax
(855) 576-4188
NPI assigned
Jul 16, 2020
Last updated
Mar 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
Dr. Robert N Price III, MDNPI 1003946468
Title
Owner
Phone
(706) 247-1860

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1725 Electric Ave Ste 100D
Watkinsville, GA 30677-2608

Mailing address

1725 Electric Ave Ste 100D
Watkinsville, GA 30677-2608
Phone (706) 262-7319

Other practice location 1

1618 Mars Hill Rd Ste A
Watkinsville, GA 30677-4847
Phone (706) 705-4543

Other names 2

  • Primetime Urgent Care Doing business as
  • Watkinsville Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200803002508 GA Part B Supplier - Clinic/Group Practice 3375968621 Receives reassigned benefits from 5 practitioners
Practice locations: Watkinsville, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2195878Watkinsville Urgent Care1725 Electric Avenue, Suite 100D, Watkinsville, GA 30677Certificate of waiverOct 12, 2026

National Provider Directory

National Provider Directory

Locations

1618 Mars Hill Rd
Ste A
Watkinsville, GA 30677
Phone (706) 705-4543

1725 Electric Ave
Ste 100D
Watkinsville, GA 30677
Phone (706) 518-6986

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1346858255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 ELECTRIC AVE STE 100D",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306772608",
            "telephone_number": "706-262-7319",
            "fax_number": "855-576-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 ELECTRIC AVE STE 100D",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306772608",
            "telephone_number": "706-518-6986",
            "fax_number": "855-576-4188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1618 Mars Hill Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Watkinsville",
            "state": "GA",
            "postal_code": "306774847",
            "country_code": "US",
            "telephone_number": "706-705-4543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CASTELLUM MEDICAL CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-247-1860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primetime Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Watkinsville Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Watkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.