Active NPI
Dima Healthcare, Inc
Doing business as Northcrest Urgent Care & Family Practice
- Family Medicine Physician
- Canton, GA
National Provider Identifier
1124629365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DIMA HEALTHCARE, INC
- Doing business as
- Northcrest Urgent Care & Family Practice
- Practice address
- 7768 Cumming Hwy Ste 300
Canton, GA 30115-2982 - Phone
- (707) 111-1111
- NPI assigned
- Nov 4, 2020
- 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
- Heather Lackey
- Title
- Manager
- Phone
- (707) 111-1111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
7768 Cumming Hwy Ste 300
Canton, GA 30115-2982
Mailing address
PO Box 817
Commerce, GA 30529-0016
Other names 1
- Northcrest Urgent Care & Family Practice
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623283200000",
"number": "1124629365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 817",
"city": "COMMERCE",
"state": "GA",
"postal_code": "305290016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7768 CUMMING HWY STE 300",
"city": "CANTON",
"state": "GA",
"postal_code": "301152982",
"telephone_number": "707-111-1111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIMA HEALTHCARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-04",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A",
"authorized_official_last_name": "LACKEY",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "707-111-1111"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Northcrest Urgent Care & Family Practice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Canton, GA
- Digestive Healthcare of Ga, P.C. (Digestive Healthcare of GA Canton)
- Dillard Academy
- Dillard Academy (Dillard charter Academy)
- Allison Dillon
- Patrice James Dilwood, PHARMD
- Dirk Russell D.M.D., P.C.
- Priya N Dixit, DDS MPH
- Loryn Hill Dobbins
- Andre Latura Dobson, M.D.
- Allison Curving Doerr, PH.D., BCBA-D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.