Organization Active NPI

Medical Management Concepts LLC

  • Assisted Living Facility
  • Dahlonega, GA
National Provider Identifier
1114124179
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MEDICAL MANAGEMENT CONCEPTS LLC
Doing business as
Gold City Personal Care Home
Practice address
350 Moores Dr
Dahlonega, GA 30533-0442
Phone
(706) 864-3136
Fax
(706) 864-7479
NPI assigned
Jul 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Laura Chancie Martin
Title
Director of Finance
Phone
(478) 405-0454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X GA Primary

Addresses

Primary practice location

350 Moores Dr
Dahlonega, GA 30533-0442

Mailing address

5402 New Forsyth Rd
Suite C
Macon, GA 31210-0883
Phone (478) 405-0454

Other names 1

  • Gold City Personal Care Home Doing business as

National Provider Directory

National Provider Directory

Locations

5402 New Forsyth Rd
Ste C
Macon, GA 31210
Phone (706) 782-4276

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114124179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 NEW FORSYTH RD",
            "address_2": "SUITE C",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312100883",
            "telephone_number": "478-405-0454",
            "fax_number": "478-405-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MOORES DR",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305330442",
            "telephone_number": "706-864-3136",
            "fax_number": "706-864-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL MANAGEMENT CONCEPTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "CHANCIE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "478-405-0454",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gold City Personal Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dahlonega, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.