Urgent Care of Wilmington Island LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

URGENT CARE OF WILMINGTON ISLAND LLC

Practice address

212 Johnny Mercer Blvd
Savannah, GA 31410-2156

Phone

(912) 201-1140

NPI assigned

Oct 26, 2022

Last updated

Oct 26, 2022By 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

Brittany Wilson

Title

Office Administrator

Phone

(912) 286-2354

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Urgent Care of Wilmington Island 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.

• Urgent Care of Wilmington Island LLC

  dba Urgent Care Midtown

  • Urgent Care Clinic/Center
  • Savannah, GA
  • NPI 1891494886
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Urgent Care of Wilmington Island LLC

  dba Urgent Care Midtown

  • Urgent Care Clinic/Center
  • Savannah, GA
  • NPI 1891494886
  NPPES parent name

Practitioners 4

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.

• Timothy Jay Dare Jr., PA-C

  • Medical Physician Assistant
  • Savannah, GA
  • NPI 1538132857
  NPD (past)
• Lindsay A Grove, NP

  • Nurse Practitioner
  • Savannah, GA
  • NPI 1982646188
  NPD (past)
• Sarah Elizabeth Massengale, PA-C

  • Physician Assistant
  • Savannah, GA
  • NPI 1548016645
  NPD (past)
• Angela Barton Mixon, FNP

  • Family Nurse Practitioner
  • Savannah, GA
  • NPI 1720021843
  NPD (past)

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1932826229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 JOHNNY MERCER BLVD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314102156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 JOHNNY MERCER BLVD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314102156",
            "telephone_number": "912-201-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE OF WILMINGTON ISLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "912-286-2354"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urgent Care Clinic/Center in Savannah, GA
• Providers in Savannah, 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 Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.