NPIMap

Organization Active NPI

Tracys Wellness Clinic

  • Urgent Care Clinic/Center
  • Tucker, GA
National Provider Identifier
1578298386
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
TRACYS WELLNESS CLINIC
Practice address
3171 Tucker Norcross Rd
Tucker, GA 30084-2124
Phone
(404) 850-0417
NPI assigned
Jul 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Authorized official

Name
Anthony AdamsNPI 1356944763
Title
Ao/Owner
Phone
(404) 850-0417

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

3171 Tucker Norcross Rd
Tucker, GA 30084-2124

Mailing address

3171 Tucker Norcross Rd
Tucker, GA 30084-2124
Phone (404) 850-0417

National Provider Directory

National Provider Directory

Locations

3171 Tucker Norcross Rd
Tucker, GA 30084
Phone (404) 850-0417

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": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1578298386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3171 TUCKER NORCROSS RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300842124",
            "telephone_number": "404-850-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3171 TUCKER NORCROSS RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300842124",
            "telephone_number": "404-850-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACYS WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "AO/OWNER",
        "authorized_official_telephone_number": "404-850-0417"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.