Organization Active NPI

Mill Creek Urgent Care

  • Urgent Care Clinic/Center
  • Woodstock, GA
National Provider Identifier
1831338136
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MILL CREEK URGENT CARE
Practice address
7820 Hickory Flat Hwy
Woodstock, GA 30188-2099
Phone
(770) 704-4911
Fax
(770) 704-4922
NPI assigned
Feb 10, 2009
Organization subpart
Yes
Parent organization
MILL CREEK FAMILY & URGENT CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

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

Authorized official

Name
Dr. Sheryl B. Vickery, M.D.
Title
Owner
Phone
(770) 704-4911

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

7820 Hickory Flat Hwy
Woodstock, GA 30188-2099

Mailing address

7820 Hickory Flat Hwy
Woodstock, GA 30188-2099
Phone (770) 704-4911

National Provider Directory

National Provider Directory
Part of
Mill Creek Fam Urgentcar

Locations

7820 Hickory Flat Hwy
Woodstock, GA 30188
Phone (678) 672-5100

NPI Registry JSON

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1831338136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7820 HICKORY FLAT HWY",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301882099",
            "telephone_number": "770-704-4911",
            "fax_number": "770-704-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7820 HICKORY FLAT HWY",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301882099",
            "telephone_number": "770-704-4911",
            "fax_number": "770-704-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILL CREEK URGENT CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MILL CREEK FAMILY & URGENT CARE",
        "enumeration_date": "2009-02-10",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "VICKERY",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-704-4911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.