Organization Active NPI

Gregory L. Wehunt, D.O.

  • Family Medicine Physician
  • Dallas, GA
National Provider Identifier
1124207261
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
025847 Issued in GA
Legal business name
GREGORY L. WEHUNT, D.O.
Practice address
290 Merchants SQ Ste C
Dallas, GA 30132-0930
Phone
(770) 443-3335
Fax
(770) 443-3394
NPI assigned
Oct 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Authorized official

Name
Dr. Gregory Lawrence Wehunt, D.O.
Title
Owner/Doctor
Phone
(770) 443-3335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 025847 GA Primary

Addresses

Primary practice location

290 Merchants SQ Ste C
Dallas, GA 30132-0930

Mailing address

290 Merchants SQ Ste C
Dallas, GA 30132-0930
Phone (770) 443-3335

Other identifiers 1

IdentifierTypeStateIssuer
00275371GMedicaidGA

National Provider Directory

National Provider Directory

Locations

621 W Memorial Dr
Dallas, GA 30132
Phone (678) 951-5722

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1124207261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 MERCHANTS SQ STE C",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301320930",
            "telephone_number": "770-443-3335",
            "fax_number": "770-443-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 MERCHANTS SQ STE C",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301320930",
            "telephone_number": "770-443-3335",
            "fax_number": "770-443-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY L. WEHUNT, D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "WEHUNT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "770-443-3335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "025847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00275371G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.