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HIGHLAND URGENT CARE AND FAMILY MEDICINE NPI 1033238175


NPI Information

NPI: 1033238175
Provider Name: HIGHLAND URGENT CARE AND FAMILY MEDICINE
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization

CLIA Number: 11D1019046

Address:
920 PONCE DE LEON AVE NE
ATLANTA, GA
ZIP 30306
Phone: (404) 815-1957
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HIGHLAND URGENT CARE AND FAMILY MEDICINE is a preferred provider organization in Atlanta, GA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. HIGHLAND URGENT CARE AND FAMILY MEDICINE NPI is 1033238175. The provider is registered as an organization entity type.

The provider's business location address is:

920 PONCE DE LEON AVE NE
ATLANTA, GA
ZIP 30306-212
Phone: (404) 815-1957
Fax: (404) 815-1954

The provider's authorized official is Nicholas Jean Beaulieu .
The authorized official title is Doctor and has the following contact phone number (404) 815-1957.

The CLIA number assigned to this NPI record is 11D1019046 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 3/25/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider OrganizationYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G24941MEDICARE UPINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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