North Georgia Urology Center

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

050482 Issued in GA

Legal business name

NORTH GEORGIA UROLOGY CENTER

Practice address

1434 Broadrick Dr
Dalton, GA 30720-3009

Phone

(706) 278-5961

Fax

(706) 275-0280

NPI assigned

Oct 14, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Heather Oaks

Title

Office Manager

Phone

(706) 278-5961

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1033580295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 BROADRICK DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203009",
            "telephone_number": "706-278-5961",
            "fax_number": "706-275-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 BROADRICK DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203009",
            "telephone_number": "706-278-5961",
            "fax_number": "706-275-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GEORGIA UROLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "OAKS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-278-5961",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "GA",
            "license": "050482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "GRP6470",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Georgia Radiology
• North Georgia Sleep Solutions, LLC
• North Georgia Surgery and Comprehensive Breast Center
• North Georgia Surgical Associates
• North Georgia Surgical Group LLC
• North Georgia Urology Center, PC, Inc
• North Georgia Women'S Center, Inc.
• Northland Hearing Centers Inc
• Northwest Georgia Dialysis Services, LLC
• Daphne M Norwood, M.D.

• Urology Physician in Dalton, GA
• Providers in Dalton, GA by specialty
• Urology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.

Verify at the official NPI Registry.