Prime Immediate Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PRIME IMMEDIATE CARE LLC

Practice address

9280 Highway 5 Ste E
Douglasville, GA 30134-1501

Phone

(770) 635-8163

Fax

(770) 635-8254

NPI assigned

Nov 2, 2007

Last updated

Aug 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mohamad A. Hamki, M.D.NPI 1639113848

Title

Dir

Phone

(770) 635-8163

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 7

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.

• Mohamad Ali Hamki, M.D

  • Emergency Medicine Physician
  • Douglasville, GA
  • NPI 1639113848
  Medicare reassignment Care Compare group NPD Authorized official
• Dominic Ikwume Asika, M.D

  • Emergency Medicine Physician
  • Douglasville, GA
  • NPI 1992749113
  Medicare reassignment Care Compare group NPD
• William Scott Alexander II, M.D.

  • Emergency Medicine Physician
  • Rome, GA
  • NPI 1154379170
  NPD (past)
• Curtis L Champion, MD

  • Internal Medicine Physician
  • Forest Park, GA
  • NPI 1467524835
  NPD (past)
• Edgar Leonard Scott III, M.D.

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1619316106
  NPD (past)
• Raymond L Fowler, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Dallas, TX
  • NPI 1639138779
  NPD (past)
• Romulo Laureta Parungao, M.D.

  • Emergency Medicine Physician
  • Fort Defiance, AZ
  • NPI 1003963265
  NPD (past)

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724457600000",
    "number": "1396924635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9280 HWY 5",
            "address_2": "SUITE E",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301341501",
            "telephone_number": "770-635-8163",
            "fax_number": "770-635-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9280 HIGHWAY 5 STE E",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301341501",
            "telephone_number": "770-635-8163",
            "fax_number": "770-635-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME IMMEDIATE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-24",
        "status": "A",
        "authorized_official_last_name": "HAMKI",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIR",
        "authorized_official_telephone_number": "770-635-8163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urgent Care Clinic/Center in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Urgent Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.