Active NPI
The Walk in Clinic LLC
- Primary Care Clinic/Center
- Conyers, GA
National Provider Identifier
1447520077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.