MEDICARE: AMCARE ENTERPRISES INC

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	261QU0200X	Urgent Care Clinic/Center
2	261QP2300X	Primary Care Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154924637
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMCARE ENTERPRISES INC

Provider Business Mailing Address
First Line	:	284 HIGHWAY 314 STE E
Second Line	:
City	:	FAYETTEVILLE
State	:	GA
Zip	:	30214-7832
Country	:	US
Telephone Number	:	770-964-0611
Fax Number	:	770-964-0608

Provider Business Practice Location Address
First Line	:	284 HIGHWAY 314 STE E
Second Line	:
City	:	FAYETTEVILLE
State	:	GA
Zip	:	30214-7832
Country	:	US
Telephone Number	:	770-964-0611
Fax Number	:	770-964-0608

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	WAYNE WILLIAMS
Credential	:	MD
Telephone Number	:	770-964-0611

Provider Enumeration Date	:	11/18/2020
Last Update Date	:	03/27/2024

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Directions to “AMCARE ENTERPRISES INC ” Practice Location

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