Active NPI
Gregory L. Wehunt, D.O.
- Family Medicine Physician
- Dallas, GA
National Provider Identifier
1124207261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 025847
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00275371G | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Hospitalist Physician
- Austell, GA
- NPI 1275583825
-
- Internal Medicine Physician
- Gainesville, GA
- NPI 1447202007
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.