David Didier

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

4999 Issued in GA

Practice address

290 Country Club Dr
200
Stockbridge, GA 30281-9069

Phone

(770) 228-5407

NPI assigned

Feb 6, 2013

Last updated

Feb 24, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361664000000",
    "number": "1245579572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 COUNTRY CLUB DR STE 200",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 COUNTRY CLUB DR",
            "address_2": "200",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819069",
            "telephone_number": "770-228-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDIER",
        "first_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "4999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zabeena Dharani
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• Diagnostic Pathology Associates PC
• Qiana Rosetta Dickerson
• Terri A Dickinson, PT
• Sarah Catherine Digirolamo
• Digital Mammography Specialists-Eagles Landing, LLC
• Dignity Senior Care Services LLC
• Jonathan Shea Diruzzo, MD
• Clay Ditty, ACNP

• Medical Physician Assistant in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.