Julia Danforth, M.D.
Individual provider Active NPI Family Medicine Physician · Adairsville, GA
NPI 1235322207 · NPPES record last updated Dec 17, 2018
Key facts
- NPI
- 1235322207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 32006 (GA)
- Practice address
- 21 Commerce Pkwy
Adairsville, GA 30103-2009 - Phone
- (770) 773-9201
- Fax
- (770) 773-9219
- NPI assigned
- Aug 23, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32006 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifestyle Medical Ministry | Family Medicine | Past |
Accepting new patients |
| Wellstar Cornerstone Family Medicine, LLC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- julia.danforth@313833824649220.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 32006 | GA | Yes |
Addresses
Primary practice location
21 Commerce Pkwy
Adairsville, GA 30103-2009
Mailing address
PO Box 12938
C/O Clinic Management
Calhoun, GA 30703-7013
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000562999X | Medicaid | GA |
Other providers in Adairsville, GA
- Aaron Joshua Cole
- Community Hospice of Georgia
- Joyce Coomer
- Molly Van Wert Cooper
- Creative Expressions Counseling and Play Therapy LLC
- Angelica B Davis
- Ashleigh Kay Dean
- Downing Clark Center, Inc.
- Education Playstation, Inc.
- Jennifer Gordon Elzey
All providers in Adairsville, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.