Organization Active NPI

Dalton Heart Center, P.C.

  • Specialist
  • Dalton, GA
National Provider Identifier
1053594648
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
15349 Issued in GA
Legal business name
DALTON HEART CENTER, P.C.
Practice address
1243 Broadrick Dr
Dalton, GA 30720-2800
Phone
(706) 278-6884
NPI assigned
Dec 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Mrs. Cheryl P Woods
Title
Billing Clerk
Phone
(706) 278-6884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 15349 GA Primary

Addresses

Primary practice location

1243 Broadrick Dr
Dalton, GA 30720-2800

Mailing address

PO Box 579
Dalton, GA 30722-0579
Phone (706) 278-6884

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1053594648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 579",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307220579",
            "telephone_number": "706-278-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 BROADRICK DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202800",
            "telephone_number": "706-278-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALTON HEART CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "706-278-6884",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "15349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.