Organization Active NPI

Joseph S. Palin, M.D.

  • Gastroenterology Physician
  • Carrollton, GA
National Provider Identifier
1144358326
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
025006 Issued in GA
Legal business name
JOSEPH S. PALIN, M.D.
Practice address
214 E Ward St
Carrollton, GA 30117-3114
Phone
(770) 836-1011
Fax
(770) 836-1049
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Ivy Anderson
Title
Office Manager
Phone
(770) 836-1011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 025006 GA Primary

Addresses

Primary practice location

214 E Ward St
Carrollton, GA 30117-3114

Mailing address

PO Box 1468
Carrollton, GA 30112-0028
Phone (770) 836-1011

Other identifiers 1

IdentifierTypeStateIssuer
1568442952OtherGANPI PHYSICIAN NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Joseph S Palin MD2 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.

Locations

214 E Ward St
Carrollton, GA 30117
Phone (770) 836-1011

Practitioners & affiliated clinicians

Practitioners 1

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": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144358326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1468",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301120028",
            "telephone_number": "770-836-1011",
            "fax_number": "770-836-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E WARD ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173114",
            "telephone_number": "770-836-1011",
            "fax_number": "770-836-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH S. PALIN, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "IVY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-836-1011",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "025006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PHYSICIAN NUMBER",
            "identifier": "1568442952",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.