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MLK URGENT CARE CENTER
NPI 1801159298
Clinic/Center - Multi-Specialty in Stone Mountain, GA

Active since June 20, 2012
1276 CEDAR KEYS CT, STONE MOUNTAIN, GA 30083(770) 256-7033 Get Directions Write a Review

NPPES record last updated: June 20, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Multi-Specialty

About MLK URGENT CARE CENTER

This page provides the complete NPI Profile along with additional information for Mlk Urgent Care Center, a provider established in Stone Mountain, Georgia operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1801159298 assigned on June 2012. The practitioner's primary taxonomy code is 261QM1300X with license number 026238 (GA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mrs. Beverly Idris Aas (Nurse)

NPI
1801159298 Verify this NPI
Provider Name
MLK URGENT CARE CENTER
Entity Type
Organization
Location Address
1276 CEDAR KEYS CT STONE MOUNTAIN, GA 30083
Location Phone
(770) 256-7033
Mailing Address
2015 MLK DR SW # JR SUITE C ATLANTA, GA 30310
Mailing Phone
(770) 256-7033
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-20-2012
Last Update Date
06-20-2012
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities
License No.
026238
License State
GA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. BEVERLY IDRIS AAS

Authorized Official Title
NURSE
Authorized Official Phone
(770) 256-7033

Reviews for MLK URGENT CARE CENTER

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

DYNAMIC 1 MEDICAL AND REHAB CLINIC
Family Medicine
1276 CEDAR KEYS CT
STONE MOUNTAIN, GA 30083
Dekalb County (770) 256-7033
SILVER WHEEL MOBLIE CARE
Family Medicine
1276 CEDAR KEYS CT
STONE MOUNTAIN, GA 30083
Dekalb County (404) 789-7222

Frequently Asked Questions

What is MLK URGENT CARE CENTER's NPI number?

The NPI number assigned to this healthcare provider is 1801159298, enumerated as an "organization" on June 20, 2012.

Where is the provider located?

The provider is located at 1276 CEDAR KEYS CT STONE MOUNTAIN, GA 30083 and the phone number is (770) 256-7033.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.