Active NPI
Reddy Urgent Care LLC
- Urgent Care Clinic/Center
- Loganville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- REDDY URGENT CARE LLC
- Doing business as
- Loganville Reddy Urgent Care
- Practice address
- 4072 Atlanta Hwy
Loganville, GA 30052-2297 - Phone
- (706) 621-7575
- Fax
- (706) 621-7557
- NPI assigned
- May 31, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ram K Reddy, MD
- Title
- Ceo
- Phone
- (706) 621-7575
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
4072 Atlanta Hwy
Loganville, GA 30052-2297
Mailing address
1061 Dowdy Rd Ste 101
Athens, GA 30606-5700
Phone (706) 621-7575
Other names 1
- Loganville Reddy Urgent Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130508000573 | GA | Part B Supplier - Clinic/Group Practice | 5890932966 |
Receives reassigned benefits from 14 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Royston, GA; Toccoa, GA; Commerce, GA; Athens, GA |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
4072 Atlanta Hwy
Loganville, GA 30052
Phone (678) 905-0236
132 Franklin Springs St
Ste B
Royston, GA 30662
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Royston, GA
- NPI 1912097155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578960000000",
"number": "1841782331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1061 DOWDY RD STE 101",
"city": "ATHENS",
"state": "GA",
"postal_code": "306065700",
"telephone_number": "706-621-7575",
"fax_number": "706-621-7557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4072 ATLANTA HWY",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300522297",
"telephone_number": "706-621-7575",
"fax_number": "706-621-7557"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REDDY URGENT CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-31",
"last_updated": "2020-01-14",
"certification_date": "2020-01-14",
"status": "A",
"authorized_official_last_name": "REDDY",
"authorized_official_first_name": "RAM",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "706-621-7575",
"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": "Loganville Reddy Urgent Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Loganville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.