NPIMap

Organization Active NPI

Heywood Medical Group Inc

Doing business as Tully Walk-In Care Center

  • Urgent Care Clinic/Center
  • Athol, MA
National Provider Identifier
1881123552
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
HEYWOOD MEDICAL GROUP INC
Doing business as
Tully Walk-In Care Center
Practice address
81 Reservoir Drive
Athol, MA 01331
Phone
(978) 248-5135
NPI assigned
Jun 7, 2017
Last updated
Jun 8, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
HEYWOOD MEDICAL GROUP INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Authorized official

Name
Thomas J Sullivan
Title
Ceo
Phone
(978) 630-6157

Specialties & licenses 1

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

Addresses

Primary practice location

81 Reservoir Drive
Athol, MA 01331

Mailing address

242 Green Street
Admin Annex Building
Gardner, MA 01440

Other names 1

  • Tully Walk-In Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040629001351 MA Part B Supplier - Clinic/Group Practice 6901882836 Receives reassigned benefits from 236 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Athol, MA; Gardner, MA

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 Directory
Tax ID family
Heywood Affilated Medic3 organizations share this tax ID, including this one
Part of
Heywood Affilated Medic

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

81 Reservoir Dr
Athol, MA 01331
Phone (978) 248-5135

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/192/brand/1/csg/123/fhir/r4

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1881123552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 GREEN STREET",
            "address_2": "ADMIN ANNEX BUILDING",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "01440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 RESERVOIR DRIVE",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "01331",
            "telephone_number": "978-248-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEYWOOD MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEYWOOD MEDICAL GROUP INC",
        "enumeration_date": "2017-06-07",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-630-6157"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tully Walk-In Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tully Walk-In Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Athol, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.

Verify at the official NPI Registry.