Pickens Urgent Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PICKENS URGENT CARE LLC

Practice address

744 Noah Dr Ste 108-109
Jasper, GA 30143-8705

Phone

(404) 984-8357

NPI assigned

Nov 22, 2019

Organization subpart

No

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

Authorized official

Name

Jesus Vazquez FigueroaNPI 1982918678

Title

MD

Phone

(404) 984-8357

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Tax ID family

Pickens Urgent Care 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.

• Pickens Urgent Care LLC

  • Primary Care Clinic/Center
  • Jasper, GA
  • NPI 1326645573
  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.

• Pickens Urgent Care LLC

  • Primary Care Clinic/Center
  • Jasper, GA
  • NPI 1326645573
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jesus Gustavo Vazquez-Figueroa, MD

  • Internal Medicine Physician
  • Sandy Springs, GA
  • NPI 1982918678
  Medicare reassignment NPD Authorized official
• Daniel Dean, FNP-BC

  • Family Nurse Practitioner
  • Jasper, GA
  • NPI 1689292203
  Medicare reassignment NPD
• Ingle Owens-Schnars, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Atlanta, GA
  • NPI 1700969409
  Medicare reassignment NPD

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1942846100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 CHAMPIONS CLUB DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 NOAH DR STE 108-109",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301438705",
            "telephone_number": "404-984-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKENS URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-22",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ FIGUEROA",
        "authorized_official_first_name": "JESUS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "404-984-8357"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pickens County Government (Pickens County Government/EMS)
• Pickens Eye Clinic
• Pickens Family Eye Care
• Pickens Primary Care LLC
• Pickens Urgent Care LLC
• Piedmont Mountainside Hospital, Inc (Piedmont Mountainside Hosptial Swing Bed Unit)
• Piedmont Mountainside Hospital, Inc. (Piedmont Mountainside Hospital)
• Piedmont Providers LLC
• Piedmont Specialty Hospital Billing LLC
• Ann Sidwell Pike, PH.D.

• Urgent Care Clinic/Center in Jasper, GA
• Providers in Jasper, 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 Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.