Dewitt and Chisolm, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

027533 Issued in GA

Legal business name

DEWITT AND CHISOLM, LLC

Practice address

1500 Oglethorpe Ave
Suite 3300
Athens, GA 30606-2179

Phone

(706) 208-1408

Fax

(706) 208-1407

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Henry L Dewitt, M.D.NPI 1619937109

Title

Member

Phone

(706) 208-1408

Specialties & licenses 2

Addresses

Other names 1

• HENRY L. DEWITT, MD LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lee Chisolm, MD

  • Family Medicine Physician
  • Athens, GA
  • NPI 1225130099
  Medicare reassignment Care Compare group NPD
• Marcus Cromer, MD

  • Family Medicine Physician
  • Athens, GA
  • NPI 1417939182
  Medicare reassignment Care Compare group NPD
• Henry L Dewitt, MD

  • Family Medicine Physician
  • Athens, GA
  • NPI 1619937109
  Medicare reassignment NPD Authorized official
• Michelle Renee Crumbley, NP

  • Nurse Practitioner
  • Loganville, GA
  • NPI 1023445418

  Family Medicine

  Medicare reassignment NPD
• Carrie Jackson Scruggs, ACNP

  • Acute Care Nurse Practitioner
  • Athens, GA
  • NPI 1043520067
  Medicare reassignment NPD
• Kirkley Griffeth Jock, FNP-BC

  • Family Nurse Practitioner
  • Acworth, GA
  • NPI 1548692221
  NPD (past)
• Mariah Wood Thaxton, P.A.

  • Physician Assistant
  • Milledgeville, GA
  • NPI 1174841647
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306910047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 OGLETHORPE AVE",
            "address_2": "SUITE 3300",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062179",
            "telephone_number": "706-208-1408",
            "fax_number": "706-208-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 OGLETHORPE AVE",
            "address_2": "SUITE 3300",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062179",
            "telephone_number": "706-208-1408",
            "fax_number": "706-208-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEWITT AND CHISOLM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEWITT",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "706-208-1408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "027533",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "055115",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HENRY L. DEWITT, MD LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Anne Desmond, FNP
• Anthony John Deutsch, M.D.
• Yvonne Devere
• Mary Devereaux, LPN
• Rachel Dooley Dewald, LCSW
• Henry L Dewitt, MD
• Jon Dewitte, MD
• Katherine Dewolf, IBCLC
• DHP of Georgia PC
• Nirav S. Dhruva, M.D.

• Family Medicine Physician in Athens, GA
• Providers in Athens, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.