NPIMap

Individual provider Active NPI

Alejandra Staubs, D.O.

  • Family Medicine Physician
  • Dalton, GA
National Provider Identifier
1013302561
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
080399 Issued in GA
Practice address
1107 Memorial Dr Ste G2
Dalton, GA 30720-8662
Phone
(706) 529-3245
Fax
(706) 272-6077
NPI assigned
Apr 1, 2015
Last updated
Apr 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 080399 GA Primary

Addresses

Primary practice location

1107 Memorial Dr Ste G2
Dalton, GA 30720-8662

Mailing address

1107 Memorial Dr Ste G2
Dalton, GA 30720-8662
Phone (706) 529-3245

Other practice location 1

215 Curtis Parkway
Calhoun, GA 30701
Phone (706) 529-3025

Other practice location 2

800 Gi Maddox Pkwy
Chatsworth, GA 30705-4008
Phone (706) 686-8050

Other names 1

  • Alejandra Soto-Staubs Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181106002020 GA Practitioner - Family Practice 6507161577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamilton Physician Group, IncGroup PAC ID 4789708553, 120 clinicians

Practice addresses (Care Compare)

3957 Cleveland Hwy
Suite B
Dalton, GA 30721-2052
Phone (706) 852-2374

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
080399GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Physician Group Inc CurrentSince Aug 1, 2018 Accepting new patients
Hamilton Medical Center, Inc. CurrentSince May 26, 2021 Accepting new patients
La Clinique LLC Family Medicine PastSince Jan 1, 2024 Accepting new patients

Locations

800 Gi Maddox Pkwy
Chatsworth, GA 30705
Phone (706) 686-8015

1012 Burleyson Rd
Dalton, GA 30720
Phone (706) 529-3245

1107 Memorial Dr
Ste G2
Dalton, GA 30720
Phone (706) 529-3245

1436 Broadrick Dr
Ste B
Dalton, GA 30720
Phone (706) 226-3434

3957 Cleveland Hwy
#B
Dalton, GA 30721
Phone (706) 694-4600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6917/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1013302561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 MEMORIAL DR STE G2",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208662",
            "telephone_number": "706-529-3245",
            "fax_number": "706-272-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 MEMORIAL DR STE G2",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208662",
            "telephone_number": "706-529-3245",
            "fax_number": "706-272-6077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Curtis Parkway",
            "address_purpose": "LOCATION",
            "city": "Calhoun",
            "state": "GA",
            "postal_code": "30701",
            "country_code": "US",
            "telephone_number": "706-529-3025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Gi Maddox Pkwy",
            "address_purpose": "LOCATION",
            "city": "Chatsworth",
            "state": "GA",
            "postal_code": "307054008",
            "country_code": "US",
            "telephone_number": "706-686-8050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAUBS",
        "first_name": "ALEJANDRA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "080399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEJANDRA",
            "last_name": "SOTO-STAUBS",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.