MODERN INTERNAL MEDICINE URGENT CARE AND PRIMARY CARE INC NPI 1528612694

NPI Information

  • NPI: 1528612694
  • Provider Name: MODERN INTERNAL MEDICINE URGENT CARE AND PRIMARY CARE INC
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 11D2183509
  • Address: 2457 MARTIN LUTHER KING JR, DR, SW
    SUIT A
    ATLANTA, GA
    ZIP 30311
  • Phone: (704) 858-6851

Map and Directions

Get Directions

NPI Details

MODERN INTERNAL MEDICINE URGENT CARE AND PRIMARY CARE INC is a primary care nurse practitioner in Atlanta, GA. MODERN INTERNAL MEDICINE URGENT CARE AND PRIMARY CARE INC NPI is 1528612694. The provider is registered as an organization entity type.

The provider's business location address is:

2457 MARTIN LUTHER KING JR, DR, SW
SUIT A
ATLANTA, GA
ZIP 30311
Phone: (704) 858-6851

The provider's authorized official is Hannah Quarshie .
The authorized official title is Np and has the following contact phone number (704) 858-6851.

The CLIA number assigned to this NPI record is 11D2183509 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2019 and was last updated on 8/28/2020.

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
1261QU0200XClinic/CenterUrgent CareNo
2363LP2300XNurse PractitionerPrimary CareYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.