| Dalton Family Practice, P.c. | |
|
1114 Professional Blvd Dalton GA 30720-2588 | |
| (706) 278-0138 | |
| (706) 272-3780 |
| Full Name | Dalton Family Practice, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1114 Professional Blvd, Dalton, Georgia |
| Authorized Official Name and Position | Deborah C Jones (BOOKKEEPER) |
| Authorized Official Contact | 7062780138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dalton Family Practice, P.c. 1114 Professional Blvd Dalton GA 30720-2588 Ph: (706) 278-0138 | Dalton Family Practice, P.c. 1114 Professional Blvd Dalton GA 30720-2588 Ph: (706) 278-0138 |
| NPI Number | 1639167026 |
|---|---|
| Provider Enumeration Date | 10/10/2005 |
| Last Update Date | 06/10/2020 |
| Medicare PECOS PAC ID | 6103817572 |
|---|---|
| Medicare Enrollment ID | O20040524000552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639167026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Stanley L Hoy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851389340 PECOS PAC ID: 4385605989 Enrollment ID: I20041123000075 |
| Provider Name | Joseph P Paulson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477582252 PECOS PAC ID: 7517991888 Enrollment ID: I20050926000810 |
| Provider Name | John S Antalis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265420731 PECOS PAC ID: 2961546486 Enrollment ID: I20100826000042 |
| Provider Name | Raymond A Bedgood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427046994 PECOS PAC ID: 3779627294 Enrollment ID: I20100826000062 |
| Provider Name | Douglas B Delay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134117609 PECOS PAC ID: 4688718109 Enrollment ID: I20100830000869 |
| Provider Name | Brandon A Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497998223 PECOS PAC ID: 9638325715 Enrollment ID: I20120806000064 |
| Provider Name | Seth T Wagner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659506277 PECOS PAC ID: 4385880095 Enrollment ID: I20130930000405 |
| Provider Name | Justin Burgett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801061452 PECOS PAC ID: 2466783915 Enrollment ID: I20191014002842 |
| Provider Name | Annie Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245872654 PECOS PAC ID: 5991195489 Enrollment ID: I20211123001967 |
| Provider Name | Joe C Furr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477710648 PECOS PAC ID: 8729250360 Enrollment ID: I20220915003963 |
| Provider Name | Jennifer N Hennon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316621436 PECOS PAC ID: 2466800412 Enrollment ID: I20231130003202 |
Griggs Family Healthcare, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 Broadrick Dr, Dalton, GA 30720 Phone: 706-529-4266 Fax: 706-529-4269 | |
Mednow, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2709 Airport Rd, Suite 101, Dalton, GA 30721 Phone: 706-275-4444 Fax: 706-275-6515 | |
I D Specialist Dalton P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 E Walnut Ave Ste 4, Dalton, GA 30721 Phone: 706-428-8908 | |
Homestead Hospice Of Northwest Georgia, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1209 Starr Dr, Dalton, GA 30720 Phone: 706-217-1926 Fax: 706-217-1927 | |
The Deo Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 N Fredrick St, Dalton, GA 30721 Phone: 706-581-2009 Fax: 706-529-5055 | |
Premise Health Of Georgia Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2305 Abutment Rd, Dalton, GA 30721 Phone: 706-532-2588 Fax: 706-532-2589 | |
Evernorth Direct Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Antioch Rd, Dalton, GA 30721 Phone: 706-275-7660 Fax: 706-275-0013 |