NPIMap

Organization Active NPI

Cerium Urgent Care

  • Primary Care Clinic/Center
  • Tucker, GA
National Provider Identifier
1780076026
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CERIUM URGENT CARE
Practice address
2260 Northlake Pkwy Ste 300
Tucker, GA 30084-4006
Phone
(404) 376-8325
NPI assigned
Feb 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Authorized official

Name
Sondi Saadia Moore-WatersNPI 1508941501
Title
Physician
Phone
(404) 297-3440

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2260 Northlake Pkwy Ste 300
Tucker, GA 30084-4006

Mailing address

2260 Northlake Pkwy Ste 300
Tucker, GA 30084-4006
Phone (404) 297-3440

Other names 1

  • Cerium Medical Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180207002410 GA Part B Supplier - Clinic/Group Practice 7517227770 Receives reassigned benefits from 2 practitioners
Practice locations: Tucker, GA

National Provider Directory

National Provider Directory

Locations

10800 Alpharetta Hwy
Ste 208407
Roswell, GA 30076

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBBDCD

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": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1780076026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 NORTHLAKE PKWY STE 300",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844006",
            "telephone_number": "404-297-3440",
            "fax_number": "404-855-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 NORTHLAKE PKWY STE 300",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844006",
            "telephone_number": "404-376-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERIUM URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "MOORE-WATERS",
        "authorized_official_first_name": "SONDI",
        "authorized_official_middle_name": "SAADIA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "404-297-3440"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cerium Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cerium Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.