NPIMap

Organization Active NPI

Ergent Med-1 LLC

Doing business as ERgent Med-1

  • Primary Care Clinic/Center
  • Brunswick, GA
National Provider Identifier
1356778211
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ERGENT MED-1 LLC
Doing business as
ERgent Med-1
Practice address
5248 New Jesup Hwy
Brunswick, GA 31523-1211
Phone
(912) 223-9268
NPI assigned
Oct 8, 2013
Last updated
Oct 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Authorized official

Name
Michael K Hamm, D.O.NPI 1942275425
Title
Owner
Phone
(912) 223-9268

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

5248 New Jesup Hwy
Brunswick, GA 31523-1211

Mailing address

5248 New Jesup Hwy
Brunswick, GA 31523-1211
Phone (912) 223-9268

Other names 1

  • ERgent Med-1 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1356778211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5248 NEW JESUP HWY",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315231211",
            "telephone_number": "912-223-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5248 NEW JESUP HWY",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315231211",
            "telephone_number": "912-223-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERGENT MED-1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "HAMM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-223-9268",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ERgent Med-1",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ERgent Med-1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.