Organization Active NPI

UC Urgent Care Inc.

  • Urgent Care Clinic/Center
  • Union City, GA
National Provider Identifier
1609388636
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
UC URGENT CARE INC.
Practice address
6781 Londonderry Way
Union City, GA 30291-2094
Phone
(770) 897-7043
Fax
(770) 996-3529
NPI assigned
Oct 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Authorized official

Name
Dr. Onwura Michael Obiekwe, MD
Title
Chief Executive Officer
Phone
(770) 897-7043

Specialties & licenses 1

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

Addresses

Primary practice location

6781 Londonderry Way
Union City, GA 30291-2094

Mailing address

217 Medical Way
Riverdale, GA 30274-2522
Phone (770) 897-7043

Other identifiers 1

IdentifierTypeStateIssuer
$$$$$$$$$OtherGASOCIAL SECURITY

National Provider Directory

National Provider Directory

Locations

6781 Londonderry Way
Ste 5
Union City, GA 30291
Phone (770) 881-8120

6781 Londonderry Way
Union City, GA 30291
Phone (770) 897-7043

NPI Registry JSON

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1609388636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 MEDICAL WAY",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742522",
            "telephone_number": "770-897-7043",
            "fax_number": "770-996-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6781 LONDONDERRY WAY",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912094",
            "telephone_number": "770-897-7043",
            "fax_number": "770-996-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UC URGENT CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "OBIEKWE",
        "authorized_official_first_name": "ONWURA",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "770-897-7043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY",
            "identifier": "$$$$$$$$$",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.