MEDICARE: GM ACCIDENT AND INJURY URGENT CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1114877420
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GM ACCIDENT AND INJURY URGENT CARE

Provider Business Mailing Address
First Line	:	5050 MEMORIAL DR
Second Line	:
City	:	STONE MOUNTAIN
State	:	GA
Zip	:	30083-3109
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5050 MEMORIAL DR
Second Line	:
City	:	STONE MOUNTAIN
State	:	GA
Zip	:	30083-3109
Country	:	US
Telephone Number	:	678-525-2600
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RICKY GOINS
Credential	:	DC
Telephone Number	:	678-525-2600

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	01/28/2026

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