Organization Active NPI

Reliance Urgent Care, LLC

  • Urgent Care Clinic/Center
  • McDonough, GA
National Provider Identifier
1891243747
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
053715 Issued in GA
Legal business name
RELIANCE URGENT CARE, LLC
Practice address
345 Huntington Place CT
Suite B
McDonough, GA 30253-8651
Phone
(678) 272-7280
Fax
(678) 610-6025
NPI assigned
Sep 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Authorized official

Name
Donna Pearson, RMC,CPC
Title
Practice Manager
Phone
(678) 272-7280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 053715 GA Primary

Addresses

Primary practice location

345 Huntington Place CT
Suite B
McDonough, GA 30253-8651

Mailing address

345 Huntington Place CT
Suite B
McDonough, GA 30253-8651
Phone (678) 272-7280

National Provider Directory

National Provider Directory

Locations

345 Huntington Place Ct
Ste B
McDonough, GA 30253
Phone (678) 272-7280

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1891243747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 HUNTINGTON PLACE CT",
            "address_2": "SUITE B",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538651",
            "telephone_number": "678-272-7280",
            "fax_number": "678-610-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 HUNTINGTON PLACE CT",
            "address_2": "SUITE B",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538651",
            "telephone_number": "678-272-7280",
            "fax_number": "678-610-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "678-272-7280",
        "authorized_official_credential": "RMC,CPC"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "GA",
            "license": "053715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.