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Thelwell Immediate Care Clinic Inc

Urgent Care Clinic/Center in Mableton, GA · enumerated 2019 · authorized official Enoma Evbuomwan, Physician Assistant.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083256804

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Thelwell Immediate Care Clinic Inc
Practice address 1400 Veterans Memorial Highway Se Suite 134 #176, Mableton, GA, 30126
Phone (646) 402-1122
Enumeration date Oct 14, 2019
Last updated in NPPES Oct 14, 2019

Taxonomy & classification

261QH0100X Health Service Clinic/Center Ambulatory Health Care Facilities Secondary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Secondary
261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Secondary
261QU0200X Urgent Care Clinic/Center Ambulatory Health Care Facilities Primary
261QV0200X VA Clinic/Center Ambulatory Health Care Facilities Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Enoma Evbuomwan
Title Physician Assistant
Phone (646) 402-1122

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Thelwell Immediate Care Clinic Inc?
The NPI for Thelwell Immediate Care Clinic Inc is 1083256804, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Thelwell Immediate Care Clinic Inc?
NPPES lists Enoma Evbuomwan (Physician Assistant) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-10-14.