Active NPI
American Current Care PA
- Urgent Care Clinic/Center
- Conyers, GA
National Provider Identifier
1992997571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- AMERICAN CURRENT CARE PA
- Practice address
- 1157 West Ave
Suite B
Conyers, GA 30012 - Phone
- (770) 760-0066
- Fax
- (770) 922-7599
- NPI assigned
- Aug 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Tom Fogarty, MD
- Title
- President
- Phone
- (972) 364-8000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
1157 West Ave
Suite B
Conyers, GA 30012
Mailing address
5080 Spectrum Dr
Suite 1200 West Tower
Addison, TX 75001-4648
Phone (972) 364-8000
Other names 1
- Concentra Urgent Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080220000473 | GA | Part B Supplier - Clinic/Group Practice | 9739260019 |
Receives reassigned benefits from 100 practitioners 15 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Union City, GA; Tucker, GA; Savannah, GA; Sandy Springs, GA; Peachtree Corners, GA; Norcross, GA; Austell, GA; Morrow, GA… |
Other NPIs on the same Medicare enrollment 15
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1353024000000",
"number": "1992997571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5080 SPECTRUM DR",
"address_2": "SUITE 1200 WEST TOWER",
"city": "ADDISON",
"state": "TX",
"postal_code": "750014648",
"telephone_number": "972-364-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1157 WEST AVE",
"address_2": "SUITE B",
"city": "CONYERS",
"state": "GA",
"postal_code": "30012",
"telephone_number": "770-760-0066",
"fax_number": "770-922-7599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN CURRENT CARE PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-16",
"last_updated": "2012-11-16",
"status": "A",
"authorized_official_last_name": "FOGARTY",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "TOM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "972-364-8000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"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": "Concentra Urgent Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.