DAHLONEGA PEDIATRIC & ADOLESCENT MEDICINE, INC. (NPI# 1376096321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376096321 |
| Entity Type | Organization |
| Organization Name | DAHLONEGA PEDIATRIC & ADOLESCENT MEDICINE, INC. |
| Practice Address |
1055 Grove St N Dahlonega GA 30533-3876 |
| Practice Telephone | 7068646700 |
| Mailing Telephone | 7068646700 |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-26 |
| Authorized Official Name | MARGARET PAYNE (NURSE PRACTITIONER/OWNER) |
| Authorized Official Telephone | 7068646700 |
| Authorized Official Credential | RNCS, MN, PNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
1639298458 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000489189S | 05 |
| Street Address |
1055 GROVE ST N |
| City | DAHLONEGA |
| State | GA |
| Zip Code | 30533-3876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922127851 | Dahlonega Pediatric & Adolescent Medicine | Clinic/Center | 1055 Grove St N, Dahlonega, GA 30533-3876 | 2007-03-29 |
| 1609492735 | Caroline Marie Muller | Nurse Practitioner | 1055 Grove St N, Dahlonega, GA 30533-3876 | 2020-06-24 |
| 1225511330 | Amy Anne Blumling | Registered Nurse | 1055 Grove St N, Dahlonega, GA 30533-3876 | 2018-09-13 |
| 1477997625 | Dahlonega Pediatrics Rural Healthcare Clinic | Clinic/Center | 1055 Grove St N, Dahlonega, GA 30533-3876 | 2013-04-18 |
| 1639298458 | Margaret Payne | Nurse Practitioner | 1055 Grove St N, Dahlonega, GA 30533-3876 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093320244 | Brittany Jamison | Speech-Language Pathologist | 180 Horizon Drive, Dahlonega, GA 30533 | 2020-09-14 |
| 1386109718 | Leanna Scoggin | Specialist/Technologist | 50 Hawksnest Dr, Apt. 300, Dahlonega, GA 30533 | 2019-02-11 |
| 1558753665 | Chelsey Park Health & Rehabilitation LLC | Skilled Nursing Facility | 200 Mountain Park Drive, Dahlonega, GA 30533 | 2015-02-26 |
| 1609286574 | Lanier Dental Group, Inc | Clinic/Center | 5458 S Chestatee, Dahlonega, GA 30533 | 2014-05-01 |
| 1265787444 | Lumpkin County Emergency Medical Services | Ambulance | 57a Pine Tree Way, Dahlonega, GA 30533 | 2012-07-13 |
| 1750651170 | Karen Lee Barrett | Nurse Practitioner | 82 College Ln, Dahlonega, GA 30533 | 2012-01-02 |
| 1427333095 | Dahlonega Pediatric and Adolescent Medicine | Pediatrics | 1055 North Grove St., Dahlonega, GA 30533 | 2011-10-14 |
| 1851690259 | Anselm Kwaku Addo | Pharmacist | 566 East Main St, Dahlonega, GA 30533 | 2011-03-24 |
| 1497064810 | The Maher Rehabilitation Institute LLC | Physical Therapist | 155 Sunset Drive, Dahlonega, GA 30533 | 2010-10-04 |
| 1639498926 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 1220 Pecks Mill Road, Dahlonega, GA 30533 | 2010-05-26 |
| Find all providers in zip 30533 | ||||
| Taxonomy Code | 364SP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730548017 | Claire A Dellecker | Clinical Nurse Specialist | 958 Joe Frank Harris Pkwy Se, Suite 101, Cartersville, GA 30120-2174 | 2016-02-16 |
| 1831504083 | Amy Higgins | Clinical Nurse Specialist | 1900 11th Ave Ste A, Columbus, GA 31901-1868 | 2014-06-26 |
| 1578790036 | Lara Ashley Burer | Clinical Nurse Specialist | 11050 Crabapple Rd, Suite 120, Roswell, GA 30075-2489 | 2009-06-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.