Fastrack Urgent Care LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FASTRACK URGENT CARE LLC

Practice address

2822 Nottingham Way
Albany, GA 31707-7629

Phone

(855) 491-8869

Fax

(855) 491-8879

NPI assigned

Nov 7, 2013

Organization subpart

No

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

Authorized official

Name

Dr. John W. Souza

Title

MD/Manager

Phone

(478) 296-2800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1487083671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6377",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310956377",
            "telephone_number": "855-491-8869",
            "fax_number": "855-491-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2822 NOTTINGHAM WAY",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317077629",
            "telephone_number": "855-491-8869",
            "fax_number": "855-491-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASTRACK URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "SOUZA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "MD/MANAGER",
        "authorized_official_telephone_number": "478-296-2800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Extended Care of Albany, Inc.
• Family First Medical Associates PC
• Family Life Counseling Center, Inc
• Eric C Fan, D.O.
• Kuo-Kang Fang, M. D.
• Fasttrack Immediate Care of Albany
• Vadley Faugue, MD
• Sheena Elois Favors, D.O, M.S
• Laura Stubbs Fay, MD
• William Meade Feild Jr., DDS

• Clinic/Center in Albany, GA
• Providers in Albany, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.