NPI age
16 years
Enumerated 2010-03-04
● Active Type 2 · Organization
Providence Immediate Care Incorporated
Providence Immediate Care Incorporated is 1 of 354 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ngone
President/ceo
Last NPPES update
2010-03-04
Source: monthly bulk 2026-05
How this organization compares
Across 354 active clinic/center providers in Georgia.
NPI age
16 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-03Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
1002 Overlook Dr
Villa Rica, GA 301805804
Mailing address
1002 Overlook Dr
Villa Rica, GA 301805804
Authorized official
Ewane Ngone, M.D.
President/ceo
📞 6789072086
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.