US Medclinic LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

US MEDCLINIC LLC

Practice address

714 Cedar St
Carrollton, GA 30117-2415

Phone

(678) 974-1240

NPI assigned

Feb 22, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Brent A Harris, M.D.NPI 1508027467

Title

Owner

Phone

(678) 974-1240

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brent Arthur Harris, M.D.

  • Family Medicine Physician
  • Carrollton, GA
  • NPI 1508027467
  NPD (past) Authorized official
• Amy Hicks

  • Nurse Practitioner
  • Carrollton, GA
  • NPI 1033656962
  NPD (past)
• Kory Zachery, PA-C

  • Physician Assistant
  • Carrollton, GA
  • NPI 1407314370
  NPD (past)

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1417316159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 CEDAR ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301172415",
            "telephone_number": "678-974-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 CEDAR ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301172415",
            "telephone_number": "678-974-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US MEDCLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-974-1240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Umberger
• United Rehab Inc.
• University of West Georgia
• Linda Jean Urioste, CRNA
• Audrey Urquhart, FNP-C
• Neha Vajpayee, M.D.
• Vanessa R Valdenegro Lopez, BCBA
• Sarah B Valdes, ARNP
• Camden Vancil
• Lilth Vanest-Hood, RBT

• Primary Care Clinic/Center in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.