Dacula Primary Care, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25411 Issued in GA

Legal business name

DACULA PRIMARY CARE, LLC

Practice address

465 Dacula Rd
Suite J
Dacula, GA 30019-2170

Phone

(770) 822-1922

NPI assigned

May 19, 2014

Organization subpart

No

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

Authorized official

Name

Dr. David F Uhry, DC

Title

Non-Medical Manager

Phone

(770) 822-1922

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dacula primary Care and Associates Doing business as

Locations

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1023429545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 DACULA RD",
            "address_2": "SUITE J",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300192170",
            "telephone_number": "770-822-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 DACULA RD",
            "address_2": "SUITE J",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300192170",
            "telephone_number": "770-822-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DACULA PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "UHRY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "NON-MEDICAL MANAGER",
        "authorized_official_telephone_number": "770-822-1922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "GA",
            "license": "6683",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "25411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1538259940",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "GRP5054",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dacula primary Care and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dacula Family Practice Inc
• Dacula Health and Wellness,LLC
• Dacula Medicine Center
• Dacula Midwifery Services LLC
• Dacula Pediatrics, LLC
• Ruqaiya S Dalal
• Kim Nga Dang
• Daniels Surgical Services
• Nikki Daniels
• Elizabeth Danish, PT/DPT

• Family Medicine Physician in Dacula, GA
• Providers in Dacula, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.