NPIMap

Organization Active NPI

Express Care LLC

  • Urgent Care Clinic/Center
  • Hampton, GA
National Provider Identifier
1861767790
Registry record updated Mar 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
EXPRESS CARE LLC
Practice address
11348 Tara Blvd
Suite 100
Hampton, GA 30228-6277
Phone
(800) 734-8186
NPI assigned
Mar 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2012

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

Authorized official

Name
Dr. Peter Nwaizuzu, M.D.NPI 1134202674
Title
Ceo
Phone
(770) 865-2619

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

11348 Tara Blvd
Suite 100
Hampton, GA 30228-6277

Mailing address

11348 Tara Blvd
Suite 100
Hampton, GA 30228-6277
Phone (800) 734-8186

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1331337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331337600000",
    "number": "1861767790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11348 TARA BLVD",
            "address_2": "SUITE 100",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302286277",
            "telephone_number": "800-734-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11348 TARA BLVD",
            "address_2": "SUITE 100",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302286277",
            "telephone_number": "800-734-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-10",
        "last_updated": "2012-03-10",
        "status": "A",
        "authorized_official_last_name": "NWAIZUZU",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-865-2619",
        "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2012; 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.