Fasttrack Immediate Care of Eastman LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

FASTTRACK IMMEDIATE CARE OF EASTMAN LLC

Practice address

1120 Indian Dr Ste C
Eastman, GA 31023-7671

Phone

(478) 374-1778

Fax

(478) 374-1727

NPI assigned

Nov 5, 2014

Organization subpart

No

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

Authorized official

Name

Nicole Nobles Paulk

Title

Ceo

Phone

(478) 271-0337

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542412800000",
    "number": "1922404896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 N 2ND ST",
            "city": "COCHRAN",
            "state": "GA",
            "postal_code": "310146330",
            "telephone_number": "478-271-0337",
            "fax_number": "478-295-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 INDIAN DR STE C",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310237671",
            "telephone_number": "478-374-1778",
            "fax_number": "478-374-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASTTRACK IMMEDIATE CARE OF EASTMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2018-11-17",
        "status": "A",
        "authorized_official_last_name": "PAULK",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "NOBLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-271-0337"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastman Trails of Journey LLC
• Emil Georgi MD, PC
• Naabea Enin, MD
• David Wesley Evans, L.P.C.
• Jenna Evans, PHARMD
• Wilfred Preston Ferguson Sr., M.D.
• Amber Devan Garrett, M. ED CCC-SLP
• Whitney Ward Garrett, FNP-C
• General Surgery of Middle Georgia, LLC
• Emil B Georgi, MD

• General Practice Physician in Eastman, GA
• Providers in Eastman, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2018; 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.