NPIMap

Organization Active NPI

Imed Urgent Care

  • Urgent Care Clinic/Center
  • Gallatin, TN
National Provider Identifier
1679951065
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
MD0000029196 Issued in TN
Legal business name
IMED URGENT CARE
Practice address
940 Memory LN
Suite 103
Gallatin, TN 37066-7161
Phone
(615) 452-5901
Fax
(615) 250-7900
NPI assigned
May 18, 2015
Last updated
May 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Authorized official

Name
Dr. Subir Guha, MDNPI 1104871029
Title
Supervising Physician
Phone
(615) 452-5901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD0000029196 TN
Urgent Care Clinic/Center 261QU0200X MD0000029196 TN Primary

Addresses

Primary practice location

940 Memory LN
Suite 103
Gallatin, TN 37066-7161

Mailing address

PO Box 1075
Gallatin, TN 37066-1075
Phone (615) 452-5901

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1679951065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1075",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370661075",
            "telephone_number": "615-452-5901",
            "fax_number": "615-250-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 MEMORY LN",
            "address_2": "SUITE 103",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370667161",
            "telephone_number": "615-452-5901",
            "fax_number": "615-250-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMED URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "GUHA",
        "authorized_official_first_name": "SUBIR",
        "authorized_official_title_or_position": "SUPERVISING PHYSICIAN",
        "authorized_official_telephone_number": "615-452-5901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000029196",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TN",
            "license": "MD0000029196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.