Organization Active NPI

J Rapha Healthcare Services Inc

Doing business as Southern Flare Urgent Care Center

  • Urgent Care Clinic/Center
  • Richmond Hill, GA
National Provider Identifier
1649744897
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
J RAPHA HEALTHCARE SERVICES INC
Doing business as
Southern Flare Urgent Care Center
Practice address
100 Timber Trail Rd Ste 104
Richmond Hill, GA 31324-9416
Phone
(912) 445-5520
NPI assigned
Jan 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Authorized official

Name
Ekei Joso Tanifum, MD
Title
Owner/Medical Director
Phone
(912) 445-5520

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

100 Timber Trail Rd Ste 104
Richmond Hill, GA 31324-9416

Mailing address

100 Timber Trail Rd Ste 104
Richmond Hill, GA 31324-9416
Phone (912) 445-5520

Other names 1

  • Southern Flare Urgent Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

100 Timber Trail Rd
Ste 104
Richmond Hill, GA 31324
Phone (912) 445-5520

60 Exchange St
#C3241
Richmond Hill, GA 31324

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": "1548028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1649744897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TIMBER TRAIL RD STE 104",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313249416",
            "telephone_number": "912-445-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TIMBER TRAIL RD STE 104",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313249416",
            "telephone_number": "912-445-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J RAPHA HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-21",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "TANIFUM",
        "authorized_official_first_name": "EKEI",
        "authorized_official_middle_name": "JOSO",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "912-445-5520",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "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": [
        {
            "organization_name": "Southern Flare Urgent Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southern Flare Urgent Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.