LAWRENCE JOEL ARMY HEALTH CLINIC
NPI 1265516470
Clinic/Center - Military Outpatient Operational (Transportable) Component in Ft Mcpherson, GA

Active since October 24, 2006
1701 HARDEE AVE, FT MCPHERSON, GA 30330(404) 464-0304(404) 464-0303 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lawrence Joel Army Health Clinic NPPES

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

LAWRENCE JOEL ARMY HEALTH CLINIC (NPI 1265516470) is a healthcare organization registered as a military outpatient operational (transportable) component in Ft Mcpherson, Georgia and active in the NPI registry since October 2006. The organization lists Carmen Rakestraw Agnew, Staff Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1265516470
Entity TypeOrganization
Primary Taxonomy261QM1102X
Legal Business NameLAWRENCE JOEL ARMY HEALTH CLINIC
Location Address1701 HARDEE AVEFt Mcpherson, GA 30330
Mailing Address2156 Spink St NwAtlanta, GA 30318-1154 · (404) 792-5919
Fax(404) 464-0303
Organization SubpartNo
Authorized OfficialCarmen Rakestraw AgnewStaff Pharmacist · (404) 464-0304
Enumeration DateOctober 24, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1265516470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Military Outpatient Operational (Transportable) ComponentAmbulatory Health Care Facilities
Taxonomy Code261QM1102X
License Licensed in GA · 11620
Definition
Non-fixed facilities or distinct parts of a non-fixed facility, providing outpatient medical and dental services, primarily intended for DoD active duty. The entity is funded with other than Defense Health Program funding. Non-DoD active duty may receive services from this entity. Non-fixed facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort or base. Non-fixed facilities include outpatient services furnished onboard ships. Non-fixed facilities also include deployed clinics. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
1701 HARDEE AVE, Ft Mcpherson, GA 30330

Other Providers at the Same Location NPPES 6

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

Licensed Practical Nurse
1701 HARDEE AVE
FORT MCPHERSON, GA 30330
Physician Assistant
1701 HARDEE AVE, GREEN TEAM
ATLANTA, GA 30330
Registered Nurse (Ambulatory Care)
1701 HARDEE AVE
FORT MCPHERSON, GA 30330
Licensed Practical Nurse
1701 HARDEE AVE
FORT MCPHERSON, GA 30330
Licensed Practical Nurse
1701 HARDEE AVE
FORT MCPHERSON, GA 30330
Clinic/Center (Military/U.S. Coast Guard Outpatient)
1701 HARDEE AVE
FT MCPHERSON, GA 30330

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 Lawrence Joel Army Health Clinic's NPI number?

The NPI number for Lawrence Joel Army Health Clinic is 1265516470. It was assigned to this organization in the NPPES registry on October 24, 2006.

Where is Lawrence Joel Army Health Clinic located?

Lawrence Joel Army Health Clinic is located at 1701 Hardee Ave, Ft Mcpherson, GA 30330. The listed phone number is (404) 464-0304.

What is Lawrence Joel Army Health Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military Outpatient Operational (Transportable) Component, with taxonomy code 261QM1102X.

When was this NPI record last updated?

The NPPES record for Lawrence Joel Army Health Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.