P Praxis·MD
● Active Type 2 · Organization

Immediate Care Centers Of Georgia, Llc

Clinic/Center·Tyrone, GA· NPI 1689858805 · Enumerated 2007 · 18 years on NPI
Immediate Care Centers Of Georgia, Llc is 1 of 354 clinic/center organizations in Georgia.
NPI age
18 years
Enumerated 2007-12-24
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bennett
Director
Last NPPES update
2008-09-09
Source: monthly bulk 2026-05

How this organization compares

Across 354 active clinic/center providers in Georgia.

NPI age
18 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-12Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
190 Greencastle Rd.
Tyrone, GA 30290
📞 6788950216
Mailing address
190 Greencastle Rd.
Tryone, GA 30290
📞 6788950216

Authorized official

Ray B Bennett, M.D.
Director
📞 6788950216

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #056526 taxonomy 261QU0200X

Identifiers

TypeValueNotes
05 (GA) 152797525A

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Immediate Care Centers, Tyrone
    Type code 3 recorded 2007-12-24

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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