NPIMap

Organization Active NPI

Brightpoint Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Stockbridge, GA
National Provider Identifier
1508915919
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
035913 Issued in GA
Legal business name
BRIGHTPOINT URGENT CARE, LLC
Practice address
913 Eagles Landing Pkwy
Suite 150
Stockbridge, GA 30281-5011
Phone
(770) 692-5910
Fax
(770) 692-5916
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Authorized official

Name
Carla D Jackson, LPC
Title
Vice President
Phone
(770) 692-5910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 035913 GA Primary

Addresses

Primary practice location

913 Eagles Landing Pkwy
Suite 150
Stockbridge, GA 30281-5011

Mailing address

913 Eagles Landing Pkwy
Suite 150
Stockbridge, GA 30281-5011
Phone (770) 692-5910

Other identifiers 2

IdentifierTypeStateIssuer
856237560BMedicaidGA
GRP8111OtherGAMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

913 Eagles Landing Pkwy
#150
Stockbridge, GA 30281
Phone (770) 692-5910

Practitioners & affiliated clinicians

Practitioners 2

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1508915919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 EAGLES LANDING PKWY",
            "address_2": "SUITE 150",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815011",
            "telephone_number": "770-692-5910",
            "fax_number": "770-692-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 EAGLES LANDING PKWY",
            "address_2": "SUITE 150",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815011",
            "telephone_number": "770-692-5910",
            "fax_number": "770-692-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTPOINT URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "770-692-5910",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "GA",
            "license": "035913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "856237560B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "GRP8111",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.