SUMMIT HEALTH PRIMARY AND URGENT CARE LLC
NPI 1730729849
Clinic/Center - Primary Care in Tyrone, GA

Active since January 07, 2020
120 HANDLEY RD BLDG 400 STE #410, TYRONE, GA 30290(678) 430-8478 Get Directions Write a Review

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 2, 2020, Apr 22, 2020, Mar 19, 2020 and 1 more (4 updates tracked since 2020).

About Summit Health Primary And Urgent Care Llc NPPES

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

SUMMIT HEALTH PRIMARY AND URGENT CARE LLC (NPI 1730729849) is a healthcare organization registered as a primary care in Tyrone, Georgia and active in the NPI registry since January 2020. The organization lists Jared Deraney, Owner, as its authorized official.

NPPES Registry Identity

NPI1730729849
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSUMMIT HEALTH PRIMARY AND URGENT CARE LLC
Location Address120 HANDLEY RD BLDG 400 STE #410Tyrone, GA 30290-3029
Mailing AddressPo Box 935719Atlanta, GA 31193-5719 · (678) 430-8478
Organization SubpartNo
Authorized OfficialJared DeraneyOwner · (480) 482-0934
Enumeration DateJanuary 7, 2020
Last NPPES UpdateOctober 2, 20204 updates tracked since enumeration
NPPES CertifiedOctober 2, 2020
NPI 1730729849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedGeneral PracticeTaxonomy 208D00000X

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

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 Summit Health Primary And Urgent Care LLC's NPI number?

The NPI number for Summit Health Primary And Urgent Care LLC is 1730729849. It was assigned to this organization in the NPPES registry on January 7, 2020.

Where is Summit Health Primary And Urgent Care LLC located?

Summit Health Primary And Urgent Care LLC is located at 120 Handley Rd Bldg 400 Ste #410, Tyrone, GA 30290. The listed phone number is (678) 430-8478.

What is Summit Health Primary And Urgent Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Summit Health Primary And Urgent Care LLC was last updated on October 2, 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.