Dillard Academy

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

DILLARD ACADEMY

Practice address

8014 Cumming Hwy
Suite 403302
Canton, GA 30115-9339

Phone

(404) 806-0434

NPI assigned

Dec 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jeff Baker, SC.D

Title

Consultant

Phone

(404) 806-0434

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Dillard Foundation Other name

Tax ID family

Dillard Academy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dillard Academy

  • Local Education Agency (LEA)
  • Canton, GA
  • NPI 1356762207
  NPD tax ID

Practitioners 1

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

• Jeffrey L Baker, PH.D, MAC,HS-BCP

  • Professional Counselor
  • Canton, GA
  • NPI 1699913020

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386201600000",
    "number": "1124459912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 STEPHENS ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275306720",
            "telephone_number": "919-738-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8014 CUMMING HWY",
            "address_2": "SUITE 403302",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301159339",
            "telephone_number": "404-806-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DILLARD ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-05",
        "last_updated": "2013-12-05",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "404-806-0434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "SC.D"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8600110",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dillard Foundation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daphne Allyana Diaz
• Julia Ann Dibiccari
• Vincent Daniel Dicarlo, MD
• Douglas Dickey
• Digestive Healthcare of Ga, P.C.
• Dillard Academy
• Allison Dillon
• Patrice James Dilwood, PHARMD
• Dima Healthcare, Inc
• Dirk Russell D.M.D., P.C.

• Local Education Agency (LEA) in Canton, GA
• Providers in Canton, GA by specialty
• Local Education Agency (LEA) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; 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.