NPIMap

Organization Active NPI

Andrew T Mecca Urgent Care LLC

  • Urgent Care Clinic/Center
  • Columbus, GA
National Provider Identifier
1801290671
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
GA036574 Issued in GA
Legal business name
ANDREW T MECCA URGENT CARE LLC
Practice address
5612 Whitesville Rd
Columbus, GA 31904-9031
Phone
(706) 322-2223
Fax
(706) 324-5233
NPI assigned
Oct 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Authorized official

Name
Andrew Thomas MeccaNPI 1659316362
Title
Sole Proprietor / Member
Phone
(706) 322-2223

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
Urgent Care Clinic/Center 261QU0200X GA036574 GA Primary

Addresses

Primary practice location

5612 Whitesville Rd
Columbus, GA 31904-9031

Mailing address

5612 Whitesville Rd Ste B
Columbus, GA 31904-9031
Phone (706) 322-2223

Other identifiers 2

IdentifierTypeStateIssuer
000540196AMedicaidGA
08BBXMBOtherGAMEDICARE

Other names 1

  • MedCare Urgent Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191008000485 GA Part B Supplier - Clinic/Group Practice 9537490446 Receives reassigned benefits from 4 practitioners
Practice locations: Columbus, GA

National Provider Directory

National Provider Directory

Locations

5612 Whitesville Rd
Ste B
Columbus, GA 31904
Phone (706) 322-2223

Practitioners & affiliated clinicians

Practitioners 5

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": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1801290671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5612 WHITESVILLE RD STE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049031",
            "telephone_number": "706-322-2223",
            "fax_number": "706-324-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5612 WHITESVILLE RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049031",
            "telephone_number": "706-322-2223",
            "fax_number": "706-324-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW T MECCA URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "MECCA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "SOLE PROPRIETOR / MEMBER",
        "authorized_official_telephone_number": "706-322-2223"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "GA",
            "license": "GA036574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000540196A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "08BBXMB",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedCare Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedCare Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.