NPIMap

Organization Active NPI

Stat Medical Care Inc

  • Urgent Care Clinic/Center
  • Johns Creek, GA
National Provider Identifier
1629318662
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
GA025341 Issued in GA
Legal business name
STAT MEDICAL CARE INC
Practice address
9690 Ventana Way
Johns Creek, GA 30022-6394
Phone
(770) 623-6773
Fax
(770) 232-9882
NPI assigned
Feb 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Authorized official

Name
Dr. James Joseph Dugal, M.D.NPI 1285766717
Title
President/Owner
Phone
(770) 623-6773

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X GA025341 GA Primary

Addresses

Primary practice location

9690 Ventana Way
Johns Creek, GA 30022-6394

Mailing address

9690 Ventana Way
Johns Creek, GA 30022-6394
Phone (770) 623-6773

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1028917Stat Medical Care9690 Ventana Way, Johns Creek, GA 30022Certificate of waiverAug 4, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1629318662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9690 VENTANA WAY",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300226394",
            "telephone_number": "770-623-6773",
            "fax_number": "770-232-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9690 VENTANA WAY",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300226394",
            "telephone_number": "770-623-6773",
            "fax_number": "770-232-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT MEDICAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "DUGAL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "770-623-6773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "GA",
            "license": "GA025341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.