Organization Active NPI

Primecare Medical Center of Cumming LLC

  • Urgent Care Clinic/Center
  • Cumming, GA
National Provider Identifier
1992994545
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
047251 Issued in GA
Legal business name
PRIMECARE MEDICAL CENTER OF CUMMING LLC
Practice address
2021 Market Place Blvd
Cumming Town Center
Cumming, GA 30041-7931
Phone
(770) 292-9982
Fax
(770) 292-9984
NPI assigned
Oct 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Authorized official

Name
Dr. Kenneth M Rice, M.D.
Title
President
Phone
(770) 292-9982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 047251 GA Primary

Addresses

Primary practice location

2021 Market Place Blvd
Cumming Town Center
Cumming, GA 30041-7931

Mailing address

2021 Market Place Blvd
Cumming Town Center
Cumming, GA 30041-7931
Phone (770) 292-9982

Other names 1

  • PrimeCare Urgent Care Doing business as

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1992994545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 MARKET PLACE BLVD",
            "address_2": "CUMMING TOWN CENTER",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417931",
            "telephone_number": "770-292-9982",
            "fax_number": "770-292-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 MARKET PLACE BLVD",
            "address_2": "CUMMING TOWN CENTER",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417931",
            "telephone_number": "770-292-9982",
            "fax_number": "770-292-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE MEDICAL CENTER OF CUMMING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-292-9982",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "GA",
            "license": "047251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PrimeCare Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.