NPIMap

Organization Active NPI

Spalding Regional Urgent Care Center at Heron Bay, L.L.C.

Doing business as Urgent Care at Heron Bay

  • Urgent Care Clinic/Center
  • Locust Grove, GA
National Provider Identifier
1861513129
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SPALDING REGIONAL URGENT CARE CENTER AT HERON BAY, L.L.C.
Doing business as
Urgent Care at Heron Bay
Practice address
3334 Highway 155 South
Locust Grove, GA 30248
Phone
(678) 583-0241
Fax
(678) 583-0261
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Authorized official

Name
Mr. Michael Kyle Burtnett
Title
SVP of Outpatient Services, Tenet
Phone
(469) 893-2153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

3334 Highway 155 South
Locust Grove, GA 30248

Mailing address

3334 Highway 155 South
Locust Grove, GA 30248
Phone (678) 583-0241

Other names 1

  • Urgent Care at Heron Bay Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1861513129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 HIGHWAY 155 SOUTH",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "30248",
            "telephone_number": "678-583-0241",
            "fax_number": "678-583-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3334 HIGHWAY 155 SOUTH",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "30248",
            "telephone_number": "678-583-0241",
            "fax_number": "678-583-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPALDING REGIONAL URGENT CARE CENTER AT HERON BAY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "BURTNETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "SVP OF OUTPATIENT SERVICES, TENET",
        "authorized_official_telephone_number": "469-893-2153",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent Care at Heron Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Locust Grove, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.