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JEFF DAVIS URGENT CARE
NPI 1134535305
Family Medicine in Hazlehurst, GA

Active since July 08, 2014CLIA 11D2082878 · Waiver
22 CROSS ST, HAZLEHURST, GA 31539(912) 375-4484(912) 375-4881 Get Directions Write a Review

NPPES record last updated: July 8, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeff Davis Urgent Care NPPES

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

JEFF DAVIS URGENT CARE (NPI 1134535305) is a healthcare organization registered as a family medicine in Hazlehurst, Georgia and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through August 24, 2026 and lists Cathy Cason, Cfo, as its authorized official.

NPPES Registry Identity

NPI1134535305
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJEFF DAVIS URGENT CARE
Location Address22 CROSS STHazlehurst, GA 31539-6426
Mailing AddressPo Box 1690Hazlehurst, GA 31539-1690 · (912) 375-4484
Phone(912) 375-4484
Fax(912) 375-4881
Organization SubpartYesParent: Hospital Authority Of Jeff Davis County Georgia
Authorized OfficialCathy CasonCfo · (912) 375-7781
Enumeration DateJuly 8, 2014
✔ NPI 1134535305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 068251
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
22 CROSS ST, Hazlehurst, GA 31539
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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 11D2082878

Jeff Davis Urgent Care · Hazlehurst, GA
Active · expires Aug 24, 2026
CLIA Number11D2082878
Laboratory TypePhysician Office
Certificate Effective DateAugust 25, 2024
Certificate Expiration DateAugust 24, 2026
Laboratory DirectorKirk A. Munsayac
Laboratory Phone(912) 375-4884
Laboratory LocationJeff Davis Urgent Care22 Cross Street, Hazlehurst, GA 31539
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

ALLEN CRAWFORD FNP-PC
Nurse Practitioner (Family)
22 CROSS ST
HAZLEHURST, GA 31539
Jeff Davis County (912) 375-4884
MUNSAYAC HEALTH LLC
Family Medicine
22 CROSS ST
HAZLEHURST, GA 31539
Jeff Davis County (912) 375-4884

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 Jeff Davis Urgent Care's NPI number?

The NPI number for Jeff Davis Urgent Care is 1134535305. It was assigned to this organization in the NPPES registry on July 8, 2014.

Where is Jeff Davis Urgent Care located?

Jeff Davis Urgent Care is located at 22 Cross St, Hazlehurst, GA 31539. The listed phone number is (912) 375-4484.

What is Jeff Davis Urgent Care's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Jeff Davis Urgent Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2082878) is associated with this NPI, valid through August 24, 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 Jeff Davis Urgent Care was last updated on July 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.