NPIMap

Organization Active NPI

Rural Urgent Care LLC

  • Urgent Care Clinic/Center
  • Bainbridge, GA
National Provider Identifier
1376173906
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
RURAL URGENT CARE LLC
Practice address
1408 Tallahassee Hwy Ste Z
Bainbridge, GA 39819-7791
Phone
(229) 400-9033
Fax
(229) 337-2406
NPI assigned
Jan 23, 2020
Last updated
Mar 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Authorized official

Name
Krista Rock
Title
VP
Phone
(205) 545-5090

Specialties & licenses 1

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

Addresses

Primary practice location

1408 Tallahassee Hwy Ste Z
Bainbridge, GA 39819-7791

Mailing address

1500 1St Ave N Unit 3
Birmingham, AL 35203-1866

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200928000931 GA DME Supplier - Physician - Family Practice 8820305600 Practice locations: Bainbridge, GA

Other NPIs with the same Medicare PAC ID 20

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 20

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
11D2178436Rural Urgent Care1408 Tallahassee Highway, Suite Z, Bainbridge, GA 39819Certificate of waiverFeb 3, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mainstreet Family Care - Forest CityForest City, NC, CCN 343809 Rural health clinic Operational/Managerial Control (100%) Apr 15, 2021
Mainstreet Family Care - OxfordOxford, NC, CCN 343814 Rural health clinic Operational/Managerial Control (100%) Apr 15, 2021
Mainstreet Family Care - LibertyLiberty, NC, CCN 343899 Rural health clinic Operational/Managerial Control (100%) Apr 15, 2021
Mainstreet Family Care - TarboroTarboro, NC, CCN 343819 Rural health clinic Operational/Managerial Control (100%) Apr 15, 2021

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1376173906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 1ST AVE N UNIT 3",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 TALLAHASSEE HWY STE Z",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398197791",
            "telephone_number": "229-400-9033",
            "fax_number": "229-337-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "ROCK",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "205-545-5090"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge, GA

Sources for this page

Verify at the official NPI Registry.