Kidzone Urgent Care, Inc.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

KIDZONE URGENT CARE, INC.

Practice address

15B Baynard Park
Newnan, GA 30265-6413

Phone

(470) 414-2900

Fax

(470) 414-2901

NPI assigned

Jun 30, 2016

Organization subpart

No

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

Authorized official

Name

Fred A Tega, M.D.

Title

Chief Executive Officer

Phone

(470) 414-2900

Specialties & licenses 1

Addresses

Other names 1

• KIDZONE URGENT CARE Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Caroline Victoria Long, CPNP-PC

  • Pediatric Nurse Practitioner
  • Newnan, GA
  • NPI 1861990483
  NPD (past)

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1790136729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15B BAYNARD PARK",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656413",
            "telephone_number": "470-414-2900",
            "fax_number": "470-414-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15B BAYNARD PARK",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656413",
            "telephone_number": "470-414-2900",
            "fax_number": "470-414-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZONE URGENT CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "TEGA",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "470-414-2900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIDZONE URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Syeda Maimuna Ali Khan, M.D.
• Geeta Bai Khanwani, MD
• Michael Nabil Khoury, M.D.
• Amanda Kidder
• Kidney Nutrition Specialist LLC
• Corrie Kief
• Beomjune B Kim, DMD, MD, FACS
• Jihye Kim, MD
• Min Hui Kim, M.D.
• Yang Eun Kim, DMD

• Urgent Care Clinic/Center in Newnan, GA
• Providers in Newnan, GA by specialty
• Urgent Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.