Active NPI
Paul J Behrmann, M.D.
- Family Medicine Physician
- Dawsonville, GA
National Provider Identifier
1023000643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 019638
- Practice address
- 108 Prominence CT
Suite 200
Dawsonville, GA 30534-6339 - Phone
- (706) 216-3238
- Fax
- (706) 216-5285
- NPI assigned
- Aug 19, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019638 | GA | MD | Family Medicine Physician |
Interoperability endpoints
- paul.behrmann.1@19056.direct.athenahealth.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 019638 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
108 Prominence CT
Suite 200
Dawsonville, GA 30534-6339
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00148508C | Medicaid | GA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 9, 2015.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449619200000",
"number": "1023000643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742616",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303742616",
"telephone_number": "770-219-8420",
"fax_number": "770-219-8440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 PROMINENCE CT",
"address_2": "SUITE 200",
"city": "DAWSONVILLE",
"state": "GA",
"postal_code": "305346339",
"telephone_number": "706-216-3238",
"fax_number": "706-216-5285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEHRMANN",
"first_name": "PAUL",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2015-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "019638",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00148508C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dawsonville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.