Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thelwell Immediate Care Clinic Inc

Organization Health Service Clinic/Center · NPI 1083256804

Thelwell Immediate Care Clinic Inc is a Health Service Clinic/Center in Mableton, Georgia. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
7
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1400 Veterans Memorial Hwy SE Ste 134 #176
Mableton, GA 30126
Phone: (646) 402-1122
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urgent Care Clinic/Center (primary) Taxonomy 261QU0200X
Health Service Clinic/Center Taxonomy 261QH0100X
Primary Care Clinic/Center Taxonomy 261QP2300X
Rural Health Clinic/Center Taxonomy 261QR1300X
VA Clinic/Center Taxonomy 261QV0200X
Medical Physician Assistant Taxonomy 363AM0700X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1083256804
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Enoma Evbuomwan — Physician Assistant · (646) 402-1122
Other names Thelwell Immediate Care Clinic Inc
NPI enumeratedOctober 14, 2019
Last updated in NPPESOctober 14, 2019
Mailing address1400 Veterans Memorial Highway Se Suite 134 #176, Mableton, GA 30126