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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Urgent Care Clinic/Center
- Richmond Hill, GA
- NPI 1902577315
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.