Active NPI
Dawn G Grindle, P.T.
- Physical Therapist
- Dahlonega, GA
National Provider Identifier
1386711695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004810
- Practice address
- 91 Hilburn Rd
Dahlonega, GA 30533-4223 - Phone
- (706) 867-6127
- Fax
- (706) 867-7965
- NPI assigned
- Nov 29, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004810 | GA | Primary |
Addresses
Primary practice location
91 Hilburn Rd
Dahlonega, GA 30533-4223
Mailing address
91 Hilburn Rd
Dahlonega, GA 30533-4223
Phone (706) 867-6127
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10059732 | Other | GA | AMERIGROUP PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1386711695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 HILBURN RD",
"city": "DAHLONEGA",
"state": "GA",
"postal_code": "305334223",
"telephone_number": "706-867-6127",
"fax_number": "706-867-7965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 HILBURN RD",
"city": "DAHLONEGA",
"state": "GA",
"postal_code": "305334223",
"telephone_number": "706-867-6127",
"fax_number": "706-867-7965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRINDLE",
"first_name": "DAWN",
"middle_name": "G",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "004810",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP PROVIDER #",
"identifier": "10059732",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dahlonega, GA
- Georgia Mountains Health Services, Inc.
- Jocelyn Glenn, LAT, ATC
- Gold City Chiropractic, LLC
- Gold City Health & Rehab LLC (Gold City Health and Rehab)
- Gold City Personal Care Center LLC (Gold City Personal Care Center)
- Patricia Grindle, OTR/L
- Teressa F. Haeger, PH.D.
- Herbert Barton Hahn, O.D.
- Lynn Annette Hale, LPC
- James Gregory Hamilton III, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.