Organization Active NPI

Urgent Medical 1, PLLC

Doing business as Advanced Urgent Care & Wellness

  • Family Medicine Physician
  • Lincolnton, NC
National Provider Identifier
1720857220
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
URGENT MEDICAL 1, PLLC
Doing business as
Advanced Urgent Care & Wellness
Practice address
111 Dave Warlick Dr
Lincolnton, NC 28092-4411
Phone
(704) 240-8133
Fax
(866) 493-3890
NPI assigned
Dec 26, 2023
Last updated
Mar 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Austin Dale GatesNPI 1144685637
Title
Owner
Phone
(704) 214-0935

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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

111 Dave Warlick Dr
Lincolnton, NC 28092-4411

Mailing address

111 Dave Warlick Dr
Lincolnton, NC 28092-4411
Phone (704) 214-0935

Other names 1

  • Advanced Urgent Care & Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240613000543 NC Part B Supplier - Clinic/Group Practice 5294277661 Receives reassigned benefits from 1 practitioner
Practice locations: Lincolnton, NC

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": "1703548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1720857220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DAVE WARLICK DR",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280924411",
            "telephone_number": "704-214-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DAVE WARLICK DR",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280924411",
            "telephone_number": "704-240-8133",
            "fax_number": "866-493-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT MEDICAL 1, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-26",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-214-0935"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Urgent Care & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Urgent Care & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincolnton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.