Ga Urgent Care Holdings

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

GA URGENT CARE HOLDINGS

Practice address

976 Killian Hill Rd SW
Lilburn, GA 30047-3102

Phone

(404) 808-7283

Fax

(678) 515-7509

NPI assigned

Jul 12, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Navreet Pannu, MD

Title

Area Director

Phone

(678) 895-9275

Specialties & licenses 1

Addresses

Other names 1

• EastSide Urgent Care Doing business as

Locations

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1841642089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 14TH ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303187963",
            "telephone_number": "404-480-9797",
            "fax_number": "404-410-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "976 KILLIAN HILL RD SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473102",
            "telephone_number": "404-808-7283",
            "fax_number": "678-515-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GA URGENT CARE HOLDINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "PANNU",
        "authorized_official_first_name": "NAVREET",
        "authorized_official_title_or_position": "AREA DIRECTOR",
        "authorized_official_telephone_number": "678-895-9275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EastSide Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urgent Care Clinic/Center in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Urgent Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.