DALTON FAMILY PRACTICE, P.C. (NPI# 1639167026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639167026 |
| Entity Type | Organization |
| Organization Name | DALTON FAMILY PRACTICE, P.C. |
| Practice Address |
1114 Professional Blvd Dalton GA 30720-2588 |
| Practice Telephone | 7062780138 |
| Practice Fax Number | 7062723780 |
| Mailing Telephone | 7062780138 |
| Mailing Fax Number | 7062723780 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2020-06-10 |
| Authorized Official Name | DEBORAH C JONES (BOOKKEEPER) |
| Authorized Official Telephone | 7062780138 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1114 PROFESSIONAL BLVD |
| City | DALTON |
| State | GA |
| Zip Code | 30720-2588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134117609 | Douglas Bradley Delay | Family Medicine | 1114 Professional Blvd, Dalton, GA 30720-2588 | 2005-10-10 |
| 1669087615 | Taylor Nicole Efaw | Physician Assistant | 1114 Professional Blvd, Dalton, GA 30720-2588 | 2020-09-15 |
| 1912266230 | Jennifer Nicole Duckett | Physician Assistant | 1114 Professional Blvd, Dalton, GA 30720-2588 | 2012-05-07 |
| 1659506277 | Seth T Wagner | Internal Medicine | 1114 Professional Blvd, Dalton, GA 30720 | 2009-05-27 |
| 1497998223 | Brandon Alan Smith | Internal Medicine | 1114 Professional Blvd, Dalton, GA 30720-2588 | 2009-04-09 |
| 1801061452 | Justin Price Burgett | Registered Nurse | 1114 Professional Blvd, Dalton, GA 30720-2597 | 2008-04-24 |
| 1649338849 | Brandy Michelle Scott | Physician Assistant | 1114 Professional Blvd, Dalton, GA 30720-2588 | 2006-12-04 |
| 1851389340 | Stanley L Hoy | Internal Medicine | 1114 Professional Blvd, Dalton, GA 30720-2588 | 2005-10-10 |
| 1285622746 | Karah Freeman Smith | Physician Assistant | 1114 Professional Blvd, Dalton, GA 30720-2588 | 2005-10-10 |
| 1265420731 | John S Antalis | Family Medicine | 1114 Professional Blvd, Dalton, GA 30720-2588 | 2005-10-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavioral Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619055886 | Steven D Murray | Family Medicine | 129 Wenger Rd N, Dalton, OH 44618-9056 | 2006-11-02 |
| 1508872466 | Family Walk-in Clinic | Family Medicine | 1100 E Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-31 |
| 1225056823 | James L Coone | Family Medicine | 1100 E. Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-18 |
| 1598794166 | Primecare Center, LLC | Family Medicine | 102 N Oaks Dr, Dalton, GA 30721-8392 | 2006-07-03 |
| 1023056686 | Griggs Family Healthcare, LLC | Family Medicine | 1301 Broadrick Dr, Dalton, GA 30720-3008 | 2006-06-03 |
| 1073563250 | Lisa Irene Griggs | Family Medicine | 902 Clark St, Dalton, GA 30720-8721 | 2006-05-11 |
| 1033195557 | David H. Drucker | Family Medicine | 1308 Memorial Dr, Suite 2, Dalton, GA 30720-2577 | 2005-12-16 |
| 1962484055 | Timothy J Snodgrass | Family Medicine | 1012 Burleyson Rd, Dalton, GA 30720-8340 | 2005-11-15 |
| 1174511562 | William L Mcdaniel Jr. | Family Medicine | 1243 Broadrick Dr, Dalton, GA 30720-2800 | 2005-10-10 |
| 1134117609 | Douglas Bradley Delay | Family Medicine | 1114 Professional Blvd, Dalton, GA 30720-2588 | 2005-10-10 |
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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.