Riesa John Greater Atlanta Urgent Care

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

29 Issued in GA

Legal business name

RIESA JOHN GREATER ATLANTA URGENT CARE

Practice address

91 Sammy McGhee Blvd
Suite 101
Jasper, GA 30143-7703

Phone

(706) 253-3341

Fax

(706) 253-3361

NPI assigned

Jul 2, 2013

Organization subpart

No

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

Authorized official

Name

Ernest Amukamara, NP

Title

Manager

Phone

(706) 253-3341

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1417397662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 SAMMY MCGHEE BLVD",
            "address_2": "SUITE 101",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301437703",
            "telephone_number": "706-253-3341",
            "fax_number": "706-253-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 SAMMY MCGHEE BLVD",
            "address_2": "SUITE 101",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301437703",
            "telephone_number": "706-253-3341",
            "fax_number": "706-253-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIESA JOHN GREATER ATLANTA URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "AMUKAMARA",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "706-253-3341",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "GA",
            "license": "29",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Legal Medicine in Jasper, GA
• Providers in Jasper, GA by specialty
• Legal Medicine in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.