Express Medical LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

142462 Issued in GA

Legal business name

EXPRESS MEDICAL LLC

Doing business as

Synergy Primary Care

Practice address

931 Lower Fayetteville Rd
Suite J
Newnan, GA 30263-5790

Phone

(770) 683-4772

Fax

(770) 683-4775

NPI assigned

Jan 9, 2015

Last updated

Jan 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vanessa Howell-Philip, NP

Title

Owner

Phone

(770) 683-4772

Specialties & licenses 1

Addresses

Other names 1

• Synergy Primary Care Doing business as

Locations

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1891183125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 LOWER FAYETTEVILLE RD",
            "address_2": "SUITE J",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302635790",
            "telephone_number": "770-683-4772",
            "fax_number": "770-683-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 LOWER FAYETTEVILLE RD",
            "address_2": "SUITE J",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302635790",
            "telephone_number": "770-683-4772",
            "fax_number": "770-683-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "HOWELL-PHILIP",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-683-4772",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "GA",
            "license": "142462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tabitha J Evans, PTA/OTA
• Sharon Lee Evers, CNS
• Laura Jane Evors
• Altovise Ewing, PH.D.
• Express Medical Homecare
• Express Medical, LLC
• Cristauf Eyran, LMT
• Princess Kimber Faal
• Melanie Jane Fabre, MS CCC-SLP
• Daniel Scott Faith, MD

• Urgent Care Clinic/Center in Newnan, GA
• Providers in Newnan, GA by specialty
• Urgent Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.