NPIMap

Organization Active NPI

Careatc

  • Primary Care Clinic/Center
  • Ellenwood, GA
National Provider Identifier
1609427632
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CAREATC
Practice address
2720 E Clayton Dr
Ellenwood, GA 30294-3504
Phone
(800) 993-8244
NPI assigned
Sep 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Authorized official

Name
Spencer D Lloyd
Title
Chief Financial Officer
Phone
(918) 779-7458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2720 E Clayton Dr
Ellenwood, GA 30294-3504

Mailing address

4500 S 129TH East Ave Ste 191
Tulsa, OK 74134-5891
Phone (918) 779-7458

National Provider Directory

National Provider Directory
Tax ID family
Careatc - Indiana Packers Health Center117 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 9

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

2720 E Clayton Dr
Ellenwood, GA 30294

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": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1609427632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S 129TH EAST AVE STE 191",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741345891",
            "telephone_number": "918-779-7458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 E CLAYTON DR",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302943504",
            "telephone_number": "800-993-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREATC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "918-779-7458"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellenwood, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.