NPIMap

Organization Active NPI

The Urgent Care Center of Richmond Hill, LLC

Doing business as ExperCARE

  • Urgent Care Clinic/Center
  • Richmond Hill, GA
National Provider Identifier
1821233354
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
THE URGENT CARE CENTER OF RICHMOND HILL, LLC
Doing business as
ExperCARE
Practice address
60 Exchange St Ste B7
Richmond Hill, GA 31324-7646
Phone
(912) 756-2273
Fax
(912) 756-3773
NPI assigned
Dec 12, 2008
Last updated
Aug 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Authorized official

Name
Catherine Corish Grant, PA-CNPI 1023017795
Title
Owner
Phone
(912) 756-2273

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
Urgent Care Clinic/Center 261QU0200X NU Primary
Occupational Medicine Clinic/Center 261QX0100X NU

Addresses

Primary practice location

60 Exchange St Ste B7
Richmond Hill, GA 31324-7646

Mailing address

60 Exchange St Ste B7
Richmond Hill, GA 31324-7646
Phone (912) 756-2273

Other names 1

  • ExperCARE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100129000188 GA Part B Supplier - Clinic/Group Practice 9931241924 Receives reassigned benefits from 12 practitioners
5 other NPIs on this enrollment
Practice locations: Hinesville, GA; Pooler, GA; Richmond Hill, GA; Rincon, GA; Savannah, GA; Statesboro, GA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
11D2306546Expercare60 Exchange Street, Suite B, Richmond Hill, GA 31324Certificate of waiverJun 19, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1821233354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 EXCHANGE ST STE B7",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313247646",
            "telephone_number": "912-756-2273",
            "fax_number": "912-756-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 EXCHANGE ST STE B7",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313247646",
            "telephone_number": "912-756-2273",
            "fax_number": "912-756-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE URGENT CARE CENTER OF RICHMOND HILL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "CORISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-756-2273",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ExperCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.