Active NPI
Mt Zion Urgent Care Center LLC
- Urgent Care Clinic/Center
- Jonesboro, GA
National Provider Identifier
1376928903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- 043534
- Legal business name
- MT ZION URGENT CARE CENTER LLC
- Practice address
- 2759 Mount Zion Pkwy
Suite D
Jonesboro, GA 30236-2568 - Phone
- (770) 880-6924
- NPI assigned
- Jul 24, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Oluropo A Ayeni, M.D
- Title
- MD/Director
- Phone
- (770) 880-6924
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | 043534 | GA | Primary |
Addresses
Primary practice location
2759 Mount Zion Pkwy
Suite D
Jonesboro, GA 30236-2568
Mailing address
2759 Mount Zion Pkwy
Suite D
Jonesboro, GA 30236-2568
Phone (770) 880-6924
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2103318 | Mt Zion Urgent Care Ctr LLC | Certificate of waiver | Oct 8, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Jonesboro, GA
- NPI 1275572190
-
- Primary Care Nurse Practitioner
- Jonesboro, GA
- NPI 1508482746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1437696000000",
"number": "1376928903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2759 MOUNT ZION PKWY",
"address_2": "SUITE D",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302362568",
"telephone_number": "770-880-6924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2759 MOUNT ZION PKWY",
"address_2": "SUITE D",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302362568",
"telephone_number": "770-880-6924"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MT ZION URGENT CARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-24",
"last_updated": "2015-07-24",
"status": "A",
"authorized_official_last_name": "AYENI",
"authorized_official_first_name": "OLUROPO",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MD/DIRECTOR",
"authorized_official_telephone_number": "770-880-6924",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "GA",
"license": "043534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.