Organization Active NPI

Urgent Care Cure LLC

  • Urgent Care Clinic/Center
  • Saint Johns, FL
National Provider Identifier
1891360145
Registry record updated Oct 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
URGENT CARE CURE LLC
Practice address
3735 Longleaf Pine Pkwy
Unit 207
Saint Johns, FL 32259-7483
Phone
(904) 201-3271
Fax
(904) 212-1711
NPI assigned
May 20, 2021
Last updated
Oct 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2023

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

Authorized official

Name
Dr. Alexei Mikhailovich Prytkov, MD, PHDNPI 1629022157
Title
Business Owner and Medical Director
Phone
(405) 863-0781

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 Primary

Addresses

Primary practice location

3735 Longleaf Pine Pkwy
Unit 207
Saint Johns, FL 32259-7483

Mailing address

10870 US One N Unit 104
Ponte Vedra Beach, FL 32081-7804
Phone (904) 438-2720

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181130001837 FL Part B Supplier - Clinic/Group Practice 3274877329 Receives reassigned benefits from 14 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ponte Vedra, FL; Saint Augustine, FL; Saint John, FL

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
10D2258481Urgent Care Cure, LLC3735 Longleaf Pine Pkwy, Ste 207, St Johns, FL 32259Certificate of waiverApr 21, 2028

National Provider Directory

National Provider Directory
Tax ID family
Urgent Care Cure LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698537600000",
    "number": "1891360145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10870 US ONE N UNIT 104",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320817804",
            "telephone_number": "904-438-2720",
            "fax_number": "904-212-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 LONGLEAF PINE PKWY",
            "address_2": "UNIT 207",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322597483",
            "telephone_number": "904-201-3271",
            "fax_number": "904-212-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE CURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2023-10-29",
        "certification_date": "2023-10-29",
        "status": "A",
        "authorized_official_last_name": "PRYTKOV",
        "authorized_official_first_name": "ALEXEI",
        "authorized_official_middle_name": "MIKHAILOVICH",
        "authorized_official_title_or_position": "BUSINESS OWNER AND MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "405-863-0781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2023; 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.