Pickens Primary Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PICKENS PRIMARY CARE LLC

Practice address

744 Noah Dr # 108-109
Jasper, GA 30143-8705

Phone

(706) 692-0119

NPI assigned

Feb 9, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Jesus Vazquez-Figueroa, MDNPI 1982918678

Title

Owner

Phone

(706) 692-0119

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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 2

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

• Jesus Gustavo Vazquez-Figueroa, MD

  • Internal Medicine Physician
  • Sandy Springs, GA
  • NPI 1982918678
  Medicare reassignment NPD Authorized official
• Daniel Dean, FNP-BC

  • Family Nurse Practitioner
  • Jasper, GA
  • NPI 1689292203
  Medicare reassignment NPD

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1467044529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 CHAMPIONS CLUB DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046955",
            "telephone_number": "404-984-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 NOAH DR # 108-109",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301438705",
            "telephone_number": "706-692-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKENS PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ-FIGUEROA",
        "authorized_official_first_name": "JESUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-692-0119",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pickens County Chiropractic
• Pickens County Department of Public Health
• Pickens County Government
• Pickens Eye Clinic
• Pickens Family Eye Care
• Pickens Urgent Care LLC
• Pickens Urgent Care LLC
• Piedmont Mountainside Hospital, Inc
• Piedmont Mountainside Hospital, Inc.
• Piedmont Providers LLC

• Primary Care Clinic/Center in Jasper, GA
• Providers in Jasper, 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 Mar 11, 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.