Individual provider Active NPI

Rhonda Lee Dennis, NP-C

  • Family Nurse Practitioner
  • Dawsonville, GA
National Provider Identifier
1295351294
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN205468 Issued in GA
Practice address
6002 Highway 53 E Ste 100
Dawsonville, GA 30534-6227
Phone
(706) 265-8002
NPI assigned
Jun 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN205468 GA Primary

Addresses

Primary practice location

6002 Highway 53 E Ste 100
Dawsonville, GA 30534-6227

Mailing address

6002 Highway 53 E Ste 100
Dawsonville, GA 30534-6227
Phone (706) 265-8002

Other practice location 1

6002 Highway 53 E Ste 100
Dawsonville, GA 30534-6227
Phone (706) 265-8002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201130000299 GA Practitioner - Nurse Practitioner 7315358140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Associates PC CurrentSince Oct 1, 2012 Accepting new patients

Locations

407 E Maple St
Ste 101
Cumming, GA 30040
Phone (770) 888-6697

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAFIAD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1295351294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6002 HIGHWAY 53 E STE 100",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346227",
            "telephone_number": "706-265-8002",
            "fax_number": "706-429-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 HIGHWAY 53 E STE 100",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346227",
            "telephone_number": "706-265-8002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6002 Highway 53 E Ste 100",
            "address_purpose": "LOCATION",
            "city": "Dawsonville",
            "state": "GA",
            "postal_code": "305346227",
            "country_code": "US",
            "telephone_number": "706-265-8002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "RHONDA",
        "middle_name": "LEE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN205468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dawsonville, GA

Sources for this page

Verify at the official NPI Registry.