Active NPI
Lawrence F Kulish, MD
- Family Medicine Physician
- Dawsonville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 045860
- Practice address
- 35 Lumpkin Campground Rd N
Dawsonville, GA 30534-6206 - Phone
- (706) 216-6446
- Fax
- (706) 216-6457
- NPI assigned
- Dec 7, 2005
- Last updated
- Mar 12, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 045860 | GA | Primary |
Addresses
Primary practice location
35 Lumpkin Campground Rd N
Dawsonville, GA 30534-6206
Mailing address
663 Gold Creek Dr
Dawsonville, GA 30534-3181
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045860 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southland Emergency Medical Services Consolidated, LLC | Family Medicine | Current | Accepting new patients |
| Southland Consolidated Emergency Services, LLC | Current | Accepting new patients | |
| Hospital Physician Services - Southeast Professional Corporation | Current | Accepting new patients | |
| Allergy and ENT of Ga | Family Medicine | Past | Accepting new patients |
| Chestatee Emergency Physicians, LLC | Past | Accepting new patients |
Locations
145 E Peacock St
Cochran, GA 31014
Phone (229) 200-4950
541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000
4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
610 Sparta Rd
Sandersville, GA 31082
Phone (478) 240-2000
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
-
- Emergency Medicine Physician
- Elberton, GA
- NPI 1174917124
-
- Hospitalist Physician
- Cochran, GA
- NPI 1033464391
Family Medicine
-
- Emergency Medicine Physician
- Blue Ridge, GA
- NPI 1174024376
-
- Family Medicine Physician
- Dawsonville, GA
- NPI 1598878621
-
- Family Medicine Physician
- Dahlonega, GA
- NPI 1205919404
-
- Emergency Medicine Physician
- Dahlonega, GA
- NPI 1366474777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363046400000",
"number": "1467437913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "663 GOLD CREEK DR",
"city": "DAWSONVILLE",
"state": "GA",
"postal_code": "305343181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 LUMPKIN CAMPGROUND RD N",
"city": "DAWSONVILLE",
"state": "GA",
"postal_code": "305346206",
"telephone_number": "706-216-6446",
"fax_number": "706-216-6457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULISH",
"first_name": "LAWRENCE",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-07",
"last_updated": "2013-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "045860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dawsonville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.