Organization Active NPI

Westside Urgent Care LLC

Doing business as WestsideMed

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1407431174
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WESTSIDE URGENT CARE LLC
Doing business as
WestsideMed
Practice address
2250 Marietta Blvd
Suite 306
Atlanta, GA 30318
Phone
(404) 692-1050
NPI assigned
Mar 15, 2021
Last updated
Mar 15, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
WESTSIDE URGENT CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Authorized official

Name
Ariel Esteves, NPNPI 1891088662
Title
NP/Owner
Phone
(404) 692-1050

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)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

2250 Marietta Blvd
Suite 306
Atlanta, GA 30318

Mailing address

2250 Marietta Blvd
Suite 306
Atlanta, GA 30318
Phone (404) 692-1050

Other names 1

  • WestsideMed Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210812000803 GA Part B Supplier - Clinic/Group Practice 1557765575 Receives reassigned benefits from 8 practitioners
Practice locations: Atlanta, GA

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
11D2229203Westside Urgent Care LLC2250 Marietta Boulevard, NW Suite 306, Atlanta, GA 30318Certificate of waiverJul 7, 2027

National Provider Directory

National Provider Directory
Part of
Westside Med

Locations

2250 Marietta Blvd NW
Ste 306
Atlanta, GA 30318
Phone (404) 692-1050

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1407431174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 MARIETTA BLVD",
            "address_2": "SUITE 306",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30318",
            "telephone_number": "404-692-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 MARIETTA BLVD",
            "address_2": "SUITE 306",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30318",
            "telephone_number": "404-692-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE URGENT CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTSIDE URGENT CARE LLC",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "ESTEVES",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_title_or_position": "NP/OWNER",
        "authorized_official_telephone_number": "404-692-1050",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WestsideMed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.

Verify at the official NPI Registry.