Organization Active NPI

Dominique Crain Locums LLC

Doing business as DC Locums Family Medicine LLC

  • Urgent Care Clinic/Center
  • Sandy Springs, GA
National Provider Identifier
1790566271
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
DOMINIQUE CRAIN LOCUMS LLC
Doing business as
DC Locums Family Medicine LLC
Practice address
6660 Roswell Rd
Sandy Springs, GA 30328-3167
Phone
(470) 491-4328
NPI assigned
Oct 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Dr. Dominique Juanita Crain, MDNPI 1902332745
Title
Founder/Ceo/Physician
Phone
(470) 491-4328

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X Primary
General Acute Care Hospital 282N00000X

Addresses

Primary practice location

6660 Roswell Rd
Sandy Springs, GA 30328-3167

Mailing address

PO Box 851982
Mobile, AL 36685-1982
Phone (470) 491-4328

Other names 1

  • DC Locums Family Medicine LLC Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1790566271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 851982",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366851982",
            "telephone_number": "470-491-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6660 ROSWELL RD",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303283167",
            "telephone_number": "470-491-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINIQUE CRAIN LOCUMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "CRAIN",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_middle_name": "JUANITA",
        "authorized_official_title_or_position": "FOUNDER/CEO/PHYSICIAN",
        "authorized_official_telephone_number": "470-491-4328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DC Locums Family Medicine LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DC Locums Family Medicine LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.