CONVENIENT CARE CLINIC NPI 1043087588

NPI Information

  • NPI: 1043087588
  • Provider Name: CONVENIENT CARE CLINIC
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Organization
  • Other Name: CONVENIENT CARE CLINIC, LLC
  • Address: 1349 DRUID PARK AVE
    AUGUSTA, GA
    ZIP 30904
  • Phone: (706) 922-2201

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NPI Details

CONVENIENT CARE CLINIC is an adult health nurse practitioner in Augusta, GA. CONVENIENT CARE CLINIC NPI is 1043087588. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Convenient Care Clinic, Llc.

The provider's business location address is:

1349 DRUID PARK AVE
AUGUSTA, GA
ZIP 30904-723
Phone: (706) 922-2201

The provider's authorized official is Jeremy Garrard .
The authorized official title is Owner and has the following contact phone number (478) 232-7313.

The enumeration date for this NPI number is 12/5/2023 and was last updated on 11/1/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthYes

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: 11/21/2025

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