Organization Active NPI

Healthchoice Center of Peachtree City LLC

  • General Practice Physician
  • Peachtree City, GA
National Provider Identifier
1073747002
Registry record updated Aug 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
HEALTHCHOICE CENTER OF PEACHTREE CITY LLC
Practice address
14 Eastbrook BND # 201
Peachtree City, GA 30269-1530
Phone
(770) 408-0184
Fax
(770) 632-7747
NPI assigned
May 5, 2009
Last updated
Aug 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2015

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

Authorized official

Name
Dr. Matthew J Dunn, D.C.NPI 1952545048
Title
President
Phone
(770) 408-0184

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

14 Eastbrook BND # 201
Peachtree City, GA 30269-1530

Mailing address

14 Eastbrook BND # 201
Peachtree City, GA 30269-1530
Phone (770) 408-0184

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111104000186 GA Part B Supplier - Clinic/Group Practice 3678622693 Receives reassigned benefits from 6 practitioners
Practice locations: Peachtree City, GA

National Provider Directory

National Provider Directory

Locations

14 Eastbrook Bnd
Ste 201
Peachtree Cty, GA 30269
Phone (770) 408-0184

3200 Shakerag Hl
Ste A
Peachtree Cty, GA 30269
Phone (770) 408-0184

Practitioners & affiliated clinicians

Practitioners 7

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": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438905600000",
    "number": "1073747002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 EASTBROOK BND # 201",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691530",
            "telephone_number": "770-408-0184",
            "fax_number": "770-632-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 EASTBROOK BND # 201",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691530",
            "telephone_number": "770-408-0184",
            "fax_number": "770-632-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCHOICE CENTER OF PEACHTREE CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2015-08-07",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-408-0184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.