NPIMap

Organization Active NPI

Regional Urgent Care Center, LLC

  • Family Medicine Physician
  • Columbus, GA
National Provider Identifier
1356309249
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
REGIONAL URGENT CARE CENTER, LLC
Practice address
101 13TH St
Suite 200
Columbus, GA 31901-2101
Phone
(706) 494-4949
Fax
(706) 494-4940
NPI assigned
May 2, 2006
Last updated
Nov 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Authorized official

Name
Libby Renfroe
Title
Credentialing Specialist
Phone
(706) 660-6410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

101 13TH St
Suite 200
Columbus, GA 31901-2101

Mailing address

PO Box 1038
Columbus, GA 31902-1038
Phone (706) 660-6410

Other identifiers 2

IdentifierTypeStateIssuer
529926720MedicaidAL
984817407AMedicaidGA

National Provider Directory

National Provider Directory

Locations

1800 10th Ave
Ste 7
Columbus, GA 31901
Phone (706) 320-8686

1800 10th Ave
Ste F
Columbus, GA 31901
Phone (706) 320-8686

101 13th St
Ste 200
Columbus, GA 31901
Phone (706) 494-4949

Practitioners & affiliated clinicians

Practitioners 8

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": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1356309249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1038",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319021038",
            "telephone_number": "706-660-6410",
            "fax_number": "706-660-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 13TH ST",
            "address_2": "SUITE 200",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012101",
            "telephone_number": "706-494-4949",
            "fax_number": "706-494-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL URGENT CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "RENFROE",
        "authorized_official_first_name": "LIBBY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "706-660-6410"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529926720",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "984817407A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.