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ELLIJAY URGENT CARE & FAMILY PRACTICE
NPI 1700237633
Clinic/Center - Rural Health in East Ellijay, GA

Active since June 22, 2016CLIA 11D2115096 · Waiver
97 HEFNER ST STE 202, EAST ELLIJAY, GA 30540(706) 635-5177(706) 635-2274 Get Directions Write a Review

NPPES record last updated: October 1, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 1, 2018, Jun 22, 2016 (2 updates tracked since 2016).

About Ellijay Urgent Care & Family Practice NPPES

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

ELLIJAY URGENT CARE & FAMILY PRACTICE (NPI 1700237633) is a healthcare organization registered as a rural health in East Ellijay, Georgia and active in the NPI registry since June 2016. The organization holds a CLIA Waiver certificate valid through June 27, 2028 and lists Ellijay Urgent Care Family Practice., Owner, as its authorized official.

NPPES Registry Identity

NPI1700237633
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameELLIJAY URGENT CARE & FAMILY PRACTICE LLC
Location Address97 HEFNER ST STE 202East Ellijay, GA 30540-8268
Mailing Address97 Hefner St Ste 202East Ellijay, GA 30540-8268 · (706) 635-2273 · Fax (706) 635-2274
Phone(706) 635-5177
Fax(706) 635-2274
Organization SubpartNo
Authorized OfficialEllijay Urgent Care Family Practice.Owner · (706) 635-5177
Enumeration DateJune 22, 2016
Last NPPES UpdateOctober 1, 20182 updates tracked since enumeration
✔ NPI 1700237633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X · License 062579 (GA)
97 HEFNER ST STE 202, East Ellijay, GA 30540
Open in Google Maps ↗

Other Names 1

Doing Business AsEllijay Urgent Care & Family Practice

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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 11D2115096

Ellijay Urgent Care & Family Practice LLC · Ellijay, GA
Active · expires Jun 27, 2028
CLIA Number11D2115096
Laboratory TypePhysician Office
Certificate Effective DateJune 28, 2026
Certificate Expiration DateJune 27, 2028
Laboratory DirectorThomas A. Nguyen
Laboratory Phone(706) 635-5177
Laboratory LocationEllijay Urgent Care & Family Practice LLC97 Hefner Street, Suite 202, Ellijay, GA 30540
CLIA data matches this NPI record on: 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.

DR. THOMAS A NGUYEN DO
Family Medicine
97 HEFNER ST STE 202
EAST ELLIJAY, GA 30540
Gilmer County (706) 635-5177

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 Ellijay Urgent Care & Family Practice LLC's NPI number?

The NPI number for Ellijay Urgent Care & Family Practice LLC is 1700237633. It was assigned to this organization in the NPPES registry on June 22, 2016. The provider is doing business as Ellijay Urgent Care & Family Practice.

Where is Ellijay Urgent Care & Family Practice LLC located?

Ellijay Urgent Care & Family Practice LLC is located at 97 Hefner St Ste 202, East Ellijay, GA 30540. The listed phone number is (706) 635-5177.

What is Ellijay Urgent Care & Family Practice LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Ellijay Urgent Care & Family Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2115096) is associated with this NPI, valid through June 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ellijay Urgent Care & Family Practice LLC accept?

Health plans from Alliant Health Plans, Inc. list Ellijay Urgent Care & Family Practice LLC 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 Ellijay Urgent Care & Family Practice LLC was last updated on October 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.