Active NPI
Ware Express Care, LLC
- Urgent Care Clinic/Center
- Waycross, GA
National Provider Identifier
1679083539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- 1659.1
- Legal business name
- WARE EXPRESS CARE, LLC
- Practice address
- 306 Isabella St
Waycross, GA 31501-3636 - Phone
- (912) 285-9990
- Fax
- (912) 338-8931
- NPI assigned
- Oct 5, 2017
- 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
- Tama Godwin
- Title
- Contracting and Credentialing
- Phone
- (229) 529-1475
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | |||
| Urgent Care Clinic/Center | 261QU0200X | 1659.1 | GA | Primary |
Addresses
Primary practice location
306 Isabella St
Waycross, GA 31501-3636
Mailing address
306 Isabella St
Waycross, GA 31501-3636
Phone (912) 285-9990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2102694 | Ware Express Care, LLC | Certificate of waiver | Sep 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
306 Isabella St
Waycross, GA 31501
Phone (912) 267-9000
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Waycross, GA
- NPI 1851858062
-
- Nurse Practitioner
- Waycross, GA
- NPI 1336960186
-
- Physician Assistant
- Waycross, GA
- NPI 1073837555
-
- Family Medicine Physician
- Waycross, GA
- NPI 1215901509
-
- Nurse Practitioner
- Nahunta, GA
- NPI 1194265975
-
- Physician Assistant
- Waycross, GA
- NPI 1922778125
-
- Nurse Practitioner
- Douglas, GA
- NPI 1629041355
-
- Physician Assistant
- Waycross, GA
- NPI 1528649332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774915200000",
"number": "1679083539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 ISABELLA ST",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315013636",
"telephone_number": "912-285-9990",
"fax_number": "912-338-8931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 ISABELLA ST",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315013636",
"telephone_number": "912-285-9990",
"fax_number": "912-338-8931"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WARE EXPRESS CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-05",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A",
"authorized_official_last_name": "GODWIN",
"authorized_official_first_name": "TAMA",
"authorized_official_title_or_position": "CONTRACTING AND CREDENTIALING",
"authorized_official_telephone_number": "229-529-1475"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "GA",
"license": "1659.1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waycross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.