Organization Active NPI

Jeffrey D. Esslinger, MD, PC

  • Primary Care Clinic/Center
  • Cartersville, GA
National Provider Identifier
1023249760
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
45455 Issued in GA
Legal business name
JEFFREY D. ESSLINGER, MD, PC
Practice address
300 Courtyard Dr SE
Suite a
Cartersville, GA 30120-8535
Phone
(770) 386-5330
Fax
(770) 382-7536
NPI assigned
Jul 29, 2009
Last updated
Jul 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

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

Authorized official

Name
Dr. Jeffrey Esslinger, MDNPI 1255321428
Title
Ceo/President
Phone
(770) 386-5330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 000696 GA
Primary Care Clinic/Center 261QP2300X 45455 GA Primary

Addresses

Primary practice location

300 Courtyard Dr SE
Suite a
Cartersville, GA 30120-8535

Mailing address

300 Courtyard Dr SE
Suite a
Cartersville, GA 30120-8535
Phone (770) 386-5330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100416000681 GA Part B Supplier - Clinic/Group Practice 1355477373 Receives reassigned benefits from 1 practitioner
Practice locations: Cartersville, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1104639Jeffrey D Esslinger MD PC300 Courtyard Drive Suite a, Cartersville, GA 30120Certificate of waiverSep 7, 2027

National Provider Directory

National Provider Directory

Locations

300 Courtyard Dr SE
#A
Cartersville, GA 30120
Phone (770) 386-5330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1023249760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 COURTYARD DR SE",
            "address_2": "SUITE A",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301208535",
            "telephone_number": "770-386-5330",
            "fax_number": "770-382-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COURTYARD DR SE",
            "address_2": "SUITE A",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301208535",
            "telephone_number": "770-386-5330",
            "fax_number": "770-382-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY D. ESSLINGER, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "ESSLINGER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "770-386-5330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "000696",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "45455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.