Organization Active NPI

Medical Management Concepts LLC

  • Skilled Nursing Facility
  • Dahlonega, GA
National Provider Identifier
1154393825
Registry record updated Dec 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
10931791 Issued in GA
Legal business name
MEDICAL MANAGEMENT CONCEPTS LLC
Doing business as
Gold City Convalescent Center
Practice address
222 Moores Dr
Dahlonega, GA 30533
Phone
(706) 864-3045
Fax
(706) 864-4535
NPI assigned
Feb 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2009

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

Authorized official

Name
Louisa Winget
Title
President
Phone
(478) 974-0006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 10931791 GA Primary

Addresses

Primary practice location

222 Moores Dr
Dahlonega, GA 30533

Mailing address

222 Moores Dr
Dahlonega, GA 30533
Phone (706) 864-3045

Other identifiers 1

IdentifierTypeStateIssuer
00142975AMedicaidGA

Other names 1

  • Gold City Convalescent Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1154393825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 MOORES DR",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "30533",
            "telephone_number": "706-864-3045",
            "fax_number": "706-864-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MOORES DR",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "30533",
            "telephone_number": "706-864-3045",
            "fax_number": "706-864-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL MANAGEMENT CONCEPTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "WINGET",
        "authorized_official_first_name": "LOUISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-974-0006"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "10931791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00142975A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gold City Convalescent Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dahlonega, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; 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.