Organization Active NPI

Mim Urgent Care & Family Practice Inc

  • Family Medicine Physician
  • Norcross, GA
National Provider Identifier
1366159873
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MIM URGENT CARE & FAMILY PRACTICE INC
Practice address
5380 Peachtree Industrial Blvd Ste 150
Norcross, GA 30071-1565
Phone
(678) 515-8154
NPI assigned
Nov 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Hannah Akosuah Quarshie, FNP-C
Title
Owner
Phone
(678) 515-8154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5380 Peachtree Industrial Blvd Ste 150
Norcross, GA 30071-1565

Mailing address

5380 Peachtree Industrial Blvd Ste 150
Norcross, GA 30071-1565
Phone (678) 515-8154

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1366159873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 PEACHTREE INDUSTRIAL BLVD STE 150",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711565",
            "telephone_number": "678-515-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 PEACHTREE INDUSTRIAL BLVD STE 150",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711565",
            "telephone_number": "678-515-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIM URGENT CARE & FAMILY PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "QUARSHIE",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_middle_name": "AKOSUAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-515-8154",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.