NPIMap

Organization Active NPI

Anycare LLC

Doing business as Anycare 24

  • Urgent Care Clinic/Center
  • Lebanon, TN
National Provider Identifier
1780022855
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ANYCARE LLC
Doing business as
Anycare 24
Practice address
702 S Cumberland St
Lebanon, TN 37087-4110
Phone
(615) 444-2121
Fax
(615) 547-6474
NPI assigned
Jun 11, 2013
Last updated
Mar 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Authorized official

Name
Dr. George William Robertson II, MDNPI 1144288747
Title
Owner/ Urgent Care Physician
Phone
(615) 444-2121

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Urgent Care Clinic/Center 261QU0200X TN Primary

Addresses

Primary practice location

702 S Cumberland St
Lebanon, TN 37087-4110

Mailing address

702 S Cumberland St
Lebanon, TN 37087-4110
Phone (615) 444-2121

Other identifiers 2

IdentifierTypeStateIssuer
103G703721OtherTNMEDICARE GROUP PTAN
1531797MedicaidTN

Other names 1

  • Anycare 24 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140513000512 TN Part B Supplier - Clinic/Group Practice 0244463529 Receives reassigned benefits from 17 practitioners
Practice locations: Lebanon, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2065567Anycare 24702 South Cumberland St, Lebanon, TN 37087ComplianceApr 24, 2028

National Provider Directory

National Provider Directory

Locations

702 S Cumberland St
Lebanon, TN 37087
Phone (615) 444-2121

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1780022855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 S CUMBERLAND ST",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370874110",
            "telephone_number": "615-444-2121",
            "fax_number": "615-547-6474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 S CUMBERLAND ST",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370874110",
            "telephone_number": "615-444-2121",
            "fax_number": "615-547-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANYCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/ URGENT CARE PHYSICIAN",
        "authorized_official_telephone_number": "615-444-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "103G703721",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1531797",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anycare 24",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.

Verify at the official NPI Registry.