NPIMap

Organization Active NPI

TMC Immediate Care, Inc

Doing business as Tanner Urgent Care

  • Urgent Care Clinic/Center
  • Villa Rica, GA
National Provider Identifier
1386708097
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
TMC IMMEDIATE CARE, INC
Doing business as
Tanner Urgent Care
Practice address
101 Quartz Dr
Suite 101
Villa Rica, GA 30180-3255
Phone
(770) 949-7500
Fax
(770) 942-8800
NPI assigned
Dec 20, 2006
Last updated
Feb 29, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
TANNER MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Clint Hoffman
Title
Sr VP
Phone
(770) 812-8845

Specialties & licenses 1

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

Addresses

Primary practice location

101 Quartz Dr
Suite 101
Villa Rica, GA 30180-3255

Mailing address

100 Greenway Blvd FL 2
Carrollton, GA 30117-4338
Phone (770) 838-8710

Other names 1

  • Tanner Urgent Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040624000840 GA Part B Supplier - Clinic/Group Practice 9133105976 Receives reassigned benefits from 51 practitioners
Practice locations: Carrollton, GA; Villa Rica, GA; Bremen, GA

National Provider Directory

National Provider Directory
Part of
Tanner Medical Center Inc

Locations

1480 S Highway 27
Carrollton, GA 30117
Phone (770) 812-9445

802 Dixie St
Carrollton, GA 30117
Phone (404) 832-1488

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 57

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.

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1386708097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GREENWAY BLVD FL 2",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174338",
            "telephone_number": "770-838-8710",
            "fax_number": "770-812-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 QUARTZ DR",
            "address_2": "SUITE 101",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301803255",
            "telephone_number": "770-949-7500",
            "fax_number": "770-942-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMC IMMEDIATE CARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TANNER MEDICAL CENTER",
        "enumeration_date": "2006-12-20",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "CLINT",
        "authorized_official_title_or_position": "SR VP",
        "authorized_official_telephone_number": "770-812-8845"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tanner Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tanner Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Villa Rica, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.