Digicom Healthcare Solution

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

33177 Issued in GA

Legal business name

DIGICOM HEALTHCARE SOLUTION

Practice address

3330 S Cobb Dr SE Ste B
Smyrna, GA 30080-4128

Phone

(678) 556-9478

NPI assigned

Dec 3, 2017

Organization subpart

No

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

Authorized official

Name

Averal Johnson, CEO/OWNER

Title

Owner

Phone

(770) 318-0476

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1512259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1275048043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 S COBB DR SE STE B",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804128",
            "telephone_number": "770-318-0476",
            "fax_number": "678-298-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 S COBB DR SE STE B",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804128",
            "telephone_number": "678-556-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGICOM HEALTHCARE SOLUTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-03",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "AVERAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-318-0476",
        "authorized_official_credential": "CEO/OWNER"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "GA",
            "license": "33177",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "GA",
            "license": "33177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gurdrishti Dhawan, DPM
• Diane Hao Nguyen DDS, P.C.
• Latoya Dickens, PHARM D
• Annette Fluellen Dickerson, P.A.
• Starr Patrice Dickerson, FNP-BC
• Dillon & Greene Dental Services LLC
• Dinwiddie Home Healthcare LLC
• Colin C Dircks, MD
• Carla McManus Dixon, MA, LPC
• Christy Dixon, CCC-SLP

• Multi-Specialty Clinic/Center in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Multi-Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.