VITALOCITY URGENT CARE, LLC
NPI 1124854153
Clinic/Center - Urgent Care in Baxley, GA

Active since September 09, 2024CLIA 11D2311112 · Waiver
118 AZALEA RD, ST 1, BAXLEY, GA 31513(912) 785-2676 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 6, 2024, Nov 15, 2024, Sep 9, 2024 (3 updates tracked since 2024).

About Vitalocity Urgent Care, Llc NPPES

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

VITALOCITY URGENT CARE, LLC (NPI 1124854153) is a healthcare organization registered as an urgent care in Baxley, Georgia and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through September 16, 2026 and lists Roscoe Carl Walls, Owner, as its authorized official.

NPPES Registry Identity

NPI1124854153
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameVITALOCITY URGENT CARE, LLC
Location Address118 AZALEA RD, ST 1Baxley, GA 31513
Mailing Address118 Azalea Rd, St 1Baxley, GA 31513 · (912) 309-2233
Organization SubpartNo
Authorized OfficialRoscoe Carl WallsOwner · (912) 785-2676
Enumeration DateSeptember 9, 2024
Last NPPES UpdateDecember 6, 20243 updates tracked since enumeration
NPPES CertifiedDecember 6, 2024
NPI 1124854153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
118 AZALEA RD, Baxley, GA 31513

Other Identifiers 1

Medicaid1376231597GA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2311112

Vitalocity Urgent Care, LLC · Baxley, GA
Active · expires Sep 16, 2026
CLIA Number11D2311112
Laboratory TypeUrgent Care
Certificate Effective DateSeptember 17, 2024
Certificate Expiration DateSeptember 16, 2026
Laboratory DirectorRoscoe Walls Jr
Laboratory Phone(912) 309-2233
Laboratory LocationVitalocity Urgent Care, LLC118 Azalea Road, Suite 1, Baxley, GA 31513
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
118 AZALEA RD, ST 1
BAXLEY, GA 31513

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 Vitalocity Urgent Care, LLC's NPI number?

The NPI number for Vitalocity Urgent Care, LLC is 1124854153. It was assigned to this organization in the NPPES registry on September 9, 2024.

Where is Vitalocity Urgent Care, LLC located?

Vitalocity Urgent Care, LLC is located at 118 Azalea Rd St 1, Baxley, GA 31513. The listed phone number is (912) 785-2676.

What is Vitalocity Urgent Care, LLC's specialty?

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

Does Vitalocity Urgent Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2311112) is associated with this NPI, valid through September 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vitalocity Urgent Care, LLC was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.