Organization Active NPI

Urgent Care Specialists LLC

  • Urgent Care Clinic/Center
  • Knoxville, TN
National Provider Identifier
1730590324
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
URGENT CARE SPECIALISTS LLC
Practice address
8861 Kingston Pike
Knoxville, TN 37923-5002
Phone
(865) 281-5415
Fax
(865) 281-5337
NPI assigned
May 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Authorized official

Name
Jerry Keith Gouge, P.A.
Title
Owner
Phone
(865) 414-9346

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X PA1728 TN

Addresses

Primary practice location

8861 Kingston Pike
Knoxville, TN 37923-5002

Mailing address

8861 Kingston Pike
Knoxville, TN 37923-5002
Phone (865) 281-5415

National Provider Directory

National Provider Directory

Locations

8861 Kingston Pike
Knoxville, TN 37923
Phone (865) 281-5415

Practitioners & affiliated clinicians

Practitioners 4

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": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1730590324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8861 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235002",
            "telephone_number": "865-281-5415",
            "fax_number": "865-281-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8861 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235002",
            "telephone_number": "865-281-5415",
            "fax_number": "865-281-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "GOUGE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-414-9346",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA1728",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.