FASTTRACK IMMEDIATE CARE OF EASTMAN LLC
NPI 1922404896
General Practice in Eastman, GA

Active since November 05, 2014
1120 INDIAN DR STE C, EASTMAN, GA 31023(478) 374-1778(478) 374-1727 Get Directions Write a Review

NPPES record last updated: November 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fasttrack Immediate Care Of Eastman Llc NPPES

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

FASTTRACK IMMEDIATE CARE OF EASTMAN LLC (NPI 1922404896) is a healthcare organization registered as a general practice in Eastman, Georgia and active in the NPI registry since November 2014. The organization lists Nicole Nobles Paulk, Ceo, as its authorized official.

NPPES Registry Identity

NPI1922404896
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameFASTTRACK IMMEDIATE CARE OF EASTMAN LLC
Location Address1120 INDIAN DR STE CEastman, GA 31023-7671
Mailing Address126 N 2nd StCochran, GA 31014-6330 · (478) 271-0337 · Fax (478) 295-3003
Fax(478) 374-1727
Organization SubpartNo
Authorized OfficialNicole Nobles PaulkCeo · (478) 271-0337
Enumeration DateNovember 5, 2014
Last NPPES UpdateNovember 17, 2018
NPI 1922404896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1120 INDIAN DR STE C, Eastman, GA 31023

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
1120 INDIAN DR STE C
EASTMAN, GA 31023

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 Fasttrack Immediate Care Of Eastman LLC's NPI number?

The NPI number for Fasttrack Immediate Care Of Eastman LLC is 1922404896. It was assigned to this organization in the NPPES registry on November 5, 2014.

Where is Fasttrack Immediate Care Of Eastman LLC located?

Fasttrack Immediate Care Of Eastman LLC is located at 1120 Indian Dr Ste C, Eastman, GA 31023. The listed phone number is (478) 374-1778.

What is Fasttrack Immediate Care Of Eastman LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Fasttrack Immediate Care Of Eastman LLC was last updated on November 17, 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.