NPIMap

Organization Active NPI

Dr GS Urgent Care LLC

  • Urgent Care Clinic/Center
  • Delray Beach, FL
National Provider Identifier
1881970168
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
ME82335 Issued in FL
Legal business name
DR GS URGENT CARE LLC
Practice address
1425 S Congress Ave
Delray Beach, FL 33445-6384
Phone
(561) 330-9363
Fax
(561) 431-3186
NPI assigned
Oct 31, 2011
Last updated
Aug 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Authorized official

Name
Dr. Mylissa Graber, M.D.NPI 1427044825
Title
President
Phone
(954) 296-2322

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)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X ME82335 FL Primary

Addresses

Primary practice location

1425 S Congress Ave
Delray Beach, FL 33445-6384

Mailing address

1425 S Congress Ave
Delray Beach, FL 33445-6384
Phone (561) 330-9363

Other names 1

  • Dr. G's Urgent Care, LLC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120309000273 FL Part B Supplier - Clinic/Group Practice 5395904429 Receives reassigned benefits from 74 practitioners
Practice locations: Deerfield, FL; Delray Beach, FL; Ft Lauderdale, FL; Lake Worth, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2044207Dr G's Urgent Care1425 S Congress Ave, Delray Beach, FL 33445Certificate of waiverJul 17, 2026

National Provider Directory

National Provider Directory

Locations

5975 N Federal Hwy
Ste 107
Ft Lauderdale, FL 33308
Phone (561) 330-9363

2662 Hollywood Blvd
Hollywood, FL 33020
Phone (561) 330-9363

127 N Dixie Hwy
Ste 4
Lake Worth, FL 33460
Phone (561) 330-9363

2350 N University Dr
#B
Sunrise, FL 33322

Practitioners & affiliated clinicians

Practitioners 79

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 79

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1881970168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 S CONGRESS AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456384",
            "telephone_number": "561-330-9363",
            "fax_number": "561-431-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S CONGRESS AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456384",
            "telephone_number": "561-330-9363",
            "fax_number": "561-431-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GS URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "GRABER",
        "authorized_official_first_name": "MYLISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-296-2322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "ME82335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. G's Urgent Care, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.