DAHLONEGA PEDIATRIC AND ADOLESCENT MEDICINE NPI 1427333095

NPI Information

NPI: 1427333095
Provider Name: DAHLONEGA PEDIATRIC AND ADOLESCENT MEDICINE

Doing Business As: DAHLONEGA PEDIATRICS

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1055 NORTH GROVE ST.
DAHLONEGA, GA
ZIP 30533
Phone: (706) 864-6700
Get Directions

DAHLONEGA PEDIATRIC AND ADOLESCENT MEDICINE is a rural health clinic center in Dahlonega, GA. DAHLONEGA PEDIATRIC AND ADOLESCENT MEDICINE NPI is 1427333095. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dahlonega Pediatrics.

The provider's business location address is:

1055 NORTH GROVE ST.
DAHLONEGA, GA
ZIP 30533
Phone: (706) 864-6700
Fax: (706) 864-2599

The provider's authorized official is Stephanie Corn .
The authorized official title is Provider/owner and has the following contact phone number (706) 864-6700.

The enumeration date for this NPI number is 10/14/2011 and was last updated on 5/4/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine	RN068135	GEORGIA	No
2	261QR1300X	Clinic/Center	Rural Health	11-8910	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000548369C	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »