NPIMap

Organization Active NPI

Dansforth, Inc

  • Clinic/Center
  • Sugar Hill, GA
National Provider Identifier
1124383146
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
047279 Issued in GA
Legal business name
DANSFORTH, INC
Practice address
245 Peachtree Industrial Blvd
Suite100
Sugar Hill, GA 30518-9126
Phone
(770) 856-8736
NPI assigned
Jul 5, 2012
Last updated
Jul 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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

Authorized official

Name
Dr. Dawn R Wilson, M.D.NPI 1053486456
Title
Sole Proprietor
Phone
(770) 856-8736

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
Clinic/Center 261Q00000X 047279 GA Primary

Addresses

Primary practice location

245 Peachtree Industrial Blvd
Suite100
Sugar Hill, GA 30518-9126

Mailing address

PO Box 56
Suwanee, GA 30024-0056
Phone (770) 856-8736

Other names 1

  • Medcare General, LLC Other name

National Provider Directory

National Provider Directory

Locations

860 Duluth Hwy
Ste 1100B
Lawrenceville, GA 30043
Phone (678) 205-8808

245 Peachtree Industrial Blvd
Ste 100
Sugar Hill, GA 30518
Phone (678) 541-0777

Practitioners & affiliated clinicians

Practitioners 4

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": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1124383146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300240056",
            "telephone_number": "770-856-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE100",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305189126",
            "telephone_number": "770-856-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANSFORTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "770-856-8736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "047279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medcare General, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sugar Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.