NPIMap

Organization Active NPI

Premier Urgent Care Inc.

  • Family Medicine Physician
  • Huntsville, AL
National Provider Identifier
1821671041
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PREMIER URGENT CARE INC.
Practice address
2246 Winchester Rd NE
Huntsville, AL 35811-6800
Phone
(256) 929-4224
Fax
(888) 498-4821
NPI assigned
May 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Authorized official

Name
Tesse T Green
Title
Operations and Billing Coordinator
Phone
(256) 849-9197

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

2246 Winchester Rd NE
Huntsville, AL 35811-6800

Mailing address

5856 Highway 53 Ste 200a
Harvest, AL 35749-4305
Phone (256) 858-1398

Other practice location 1

5856 Highway 53 Ste 200A
Harvest, AL 35749-4305
Phone (256) 858-1398

Other identifiers 4

IdentifierTypeStateIssuer
1356859391OtherALNPI
1427549823OtherALNPI
1437700606OtherALNPI
1659890945OtherALNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://txaanqf7zp2vmw025bapp.ecwcloud.com/mobiledoc/jsp/webemr/login/newLogin.jsp#

National Provider Directory

National Provider Directory

Locations

5856 Highway 53
Ste A
Harvest, AL 35749
Phone (256) 945-7617

2246 Winchester Rd NE
Huntsville, AL 35811
Phone (256) 851-5813

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1821671041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5856 HIGHWAY 53 STE 200A",
            "city": "HARVEST",
            "state": "AL",
            "postal_code": "357494305",
            "telephone_number": "256-858-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2246 WINCHESTER RD NE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358116800",
            "telephone_number": "256-929-4224",
            "fax_number": "888-498-4821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5856 Highway 53 Ste 200A",
            "address_purpose": "LOCATION",
            "city": "Harvest",
            "state": "AL",
            "postal_code": "357494305",
            "country_code": "US",
            "telephone_number": "256-858-1398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER URGENT CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "TESSE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OPERATIONS AND BILLING COORDINATOR",
        "authorized_official_telephone_number": "256-849-9197"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1356859391",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1427549823",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1437700606",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1659890945",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://txaanqf7zp2vmw025bapp.ecwcloud.com/mobiledoc/jsp/webemr/login/newLogin.jsp#",
            "affiliation": "N",
            "address_1": "5856 Highway 53 Ste 200A",
            "city": "Harvest",
            "state": "AL",
            "country_code": "US",
            "postal_code": "357494305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.