Organization Active NPI

Woodstock Urgent Care LLC

  • Urgent Care Clinic/Center
  • Woodstock, GA
National Provider Identifier
1932237807
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
WOODSTOCK URGENT CARE LLC
Doing business as
Woodstock Family Practice and Urgent Care
Practice address
310 Gold Creek Trail
Suite 200
Woodstock, GA 30188
Phone
(770) 771-5600
Fax
(770) 771-5609
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Authorized official

Name
Dr. James Y Lee, D.O.
Title
Medical Director
Phone
(770) 771-5600

Specialties & licenses 2

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

Addresses

Primary practice location

310 Gold Creek Trail
Suite 200
Woodstock, GA 30188

Mailing address

310 Gold Creek Trail
Suite 200
Woodstock, GA 30188
Phone (770) 771-5600

Other names 1

  • Woodstock Family Practice and Urgent Care Doing business as

National Provider Directory

National Provider Directory

Locations

12926 Highway 92
Ste 1000
Woodstock, GA 30188
Phone (770) 771-5600

310 Gold Creek Trl
Ste 200
Woodstock, GA 30188
Phone (770) 771-5600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JAABAA

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1932237807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 GOLD CREEK TRAIL",
            "address_2": "SUITE 200",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "30188",
            "telephone_number": "770-771-5600",
            "fax_number": "770-771-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 GOLD CREEK TRAIL",
            "address_2": "SUITE 200",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "30188",
            "telephone_number": "770-771-5600",
            "fax_number": "770-771-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSTOCK URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "770-771-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodstock Family Practice and Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.