Organization Active NPI

The Walk in Clinic LLC

  • Primary Care Clinic/Center
  • Conyers, GA
National Provider Identifier
1447520077
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
THE WALK IN CLINIC LLC
Practice address
2890 Highway 212 SW
Suite E
Conyers, GA 30094-3363
Phone
(770) 929-9150
Fax
(770) 929-9148
NPI assigned
Jan 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Authorized official

Name
Mrs. Tonya K Jefferson, APRN
Title
Manager
Phone
(770) 929-9150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2890 Highway 212 SW
Suite E
Conyers, GA 30094-3363

Mailing address

2890 Highway 212 SW
Suite E
Conyers, GA 30094-3363
Phone (770) 929-9150

National Provider Directory

National Provider Directory

Locations

2890 Highway 212 SW
Ste E
Conyers, GA 30094
Phone (770) 929-9150

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1447520077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2890 HIGHWAY 212 SW",
            "address_2": "SUITE E",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300943363",
            "telephone_number": "770-929-9150",
            "fax_number": "770-929-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 HIGHWAY 212 SW",
            "address_2": "SUITE E",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300943363",
            "telephone_number": "770-929-9150",
            "fax_number": "770-929-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WALK IN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-929-9150",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.