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THELWELL IMMEDIATE CARE CLINIC INC
NPI 1083256804
Clinic/Center - Urgent Care in Mableton, GA

Active since October 14, 2019
1400 VETERANS MEMORIAL HIGHWAY SE SUITE 134 #176, MABLETON, GA 30126(646) 402-1122 Get Directions Write a Review

NPPES record last updated: October 14, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thelwell Immediate Care Clinic Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THELWELL IMMEDIATE CARE CLINIC INC (NPI 1083256804) is a healthcare organization registered as an urgent care in Mableton, Georgia and active in the NPI registry since October 2019. The organization lists Enoma Evbuomwan, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1083256804
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameTHELWELL IMMEDIATE CARE CLINIC INC
Location Address1400 VETERANS MEMORIAL HIGHWAY SE SUITE 134 #176Mableton, GA 30126
Mailing Address1400 Veterans Memorial Highway Se Suite 134 #176Mableton, GA 30126 · (646) 402-1122
Phone(646) 402-1122
Organization SubpartNo
Authorized OfficialEnoma EvbuomwanPhysician Assistant · (646) 402-1122
Enumeration DateOctober 14, 2019
✔ NPI 1083256804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
Also ListedClinic/Center · VATaxonomy 261QV0200X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Other Names 1

Former Legal Business NameThelwell Immediate Care Clinic Inc

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thelwell Immediate Care Clinic Inc's NPI number?

The NPI number for Thelwell Immediate Care Clinic Inc is 1083256804. It was assigned to this organization in the NPPES registry on October 14, 2019.

Where is Thelwell Immediate Care Clinic Inc located?

Thelwell Immediate Care Clinic Inc is located at 1400 Veterans Memorial Highway SE Suite 134 #176, Mableton, GA 30126. The listed phone number is (646) 402-1122.

What is Thelwell Immediate Care Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

When was this NPI record last updated?

The NPPES record for Thelwell Immediate Care Clinic Inc was last updated on October 14, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.