NPIMap

Organization Active NPI

Dalton Obstetrics & Gynecology, PC

  • Obstetrics & Gynecology Physician
  • Dalton, GA
National Provider Identifier
1326098096
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
DALTON OBSTETRICS & GYNECOLOGY, PC
Practice address
1108 Professional Blvd
Dalton, GA 30720-2588
Phone
(706) 226-6542
Fax
(706) 226-1273
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
Carole Bridges
Title
Practice Manager
Phone
(706) 226-6542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1108 Professional Blvd
Dalton, GA 30720-2588

Mailing address

1108 Professional Boulevard
Dalton, GA 30720-2581
Phone (706) 226-6542

Other identifiers 1

IdentifierTypeStateIssuer
300023234AMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1326098096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 PROFESSIONAL BOULEVARD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202581",
            "telephone_number": "706-226-6542",
            "fax_number": "706-226-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 PROFESSIONAL BLVD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202588",
            "telephone_number": "706-226-6542",
            "fax_number": "706-226-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALTON OBSTETRICS & GYNECOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "BRIDGES",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "706-226-6542"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300023234A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.