MODERN INTERNAL MEDICINE URGENT CARE AND PRIMARY CARE INC
NPI 1528612694
Nurse Practitioner - Primary Care in Atlanta, GA

Active since July 27, 2019CLIA 11D2183509 · Waiver
2457 MARTIN LUTHER KING JR, DR, SW, SUIT A, ATLANTA, GA 30311(704) 858-6851 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 28, 2020, Aug 28, 2019, Jul 27, 2019 (3 updates tracked since 2019).

About Modern Internal Medicine Urgent Care And Primary Care Inc NPPES

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

MODERN INTERNAL MEDICINE URGENT CARE AND PRIMARY CARE INC (NPI 1528612694) is a healthcare organization registered as a primary care in Atlanta, Georgia and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through May 5, 2028 and lists Hannah Quarshie, Np, as its authorized official.

NPPES Registry Identity

NPI1528612694
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameMODERN INTERNAL MEDICINE URGENT CARE AND PRIMARY CARE INC
Location Address2457 MARTIN LUTHER KING JR, DR, SW, SUIT AAtlanta, GA 30311
Mailing Address2363 Timberbrook TrceMarietta, GA 30066 · (704) 858-6851
Organization SubpartNo
Authorized OfficialHannah QuarshieNp · (704) 858-6851
Enumeration DateJuly 27, 2019
Last NPPES UpdateAugust 28, 20203 updates tracked since enumeration
NPPES CertifiedAugust 28, 2020
NPI 1528612694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
2457 MARTIN LUTHER KING JR, DR, SW, Atlanta, GA 30311

Accepted Insurance

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 11D2183509

Modern Internal Medicine Urgent Care And Primary Care Inc · Atlanta, GA
Active · expires May 5, 2028
CLIA Number11D2183509
Laboratory TypePhysician Office
Certificate Effective DateMay 6, 2026
Certificate Expiration DateMay 5, 2028
Laboratory DirectorQuarshie Hannah
Laboratory Phone(704) 858-6851
Laboratory LocationModern Internal Medicine Urgent Care And Primary Care Inc2457 Mlk Jr Dr SW Ste A, Atlanta, GA 30311
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Modern Internal Medicine Urgent Care And Primary Care Inc's NPI number?

The NPI number for Modern Internal Medicine Urgent Care And Primary Care Inc is 1528612694. It was assigned to this organization in the NPPES registry on July 27, 2019.

Where is Modern Internal Medicine Urgent Care And Primary Care Inc located?

Modern Internal Medicine Urgent Care And Primary Care Inc is located at 2457 Martin Luther King Jr, Dr, SW Suit A, Atlanta, GA 30311. The listed phone number is (704) 858-6851.

What is Modern Internal Medicine Urgent Care And Primary Care Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Modern Internal Medicine Urgent Care And Primary Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2183509) is associated with this NPI, valid through May 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Modern Internal Medicine Urgent Care And Primary Care Inc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Modern Internal Medicine Urgent Care And Primary Care Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Modern Internal Medicine Urgent Care And Primary Care Inc was last updated on August 28, 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.