Active NPI
Joseph Paulson, PA-C
- Physician Assistant
- Dalton, GA
National Provider Identifier
1477582252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 004465
- Practice address
- 1200 Memorial Dr
Dalton, GA 30720-2529 - Phone
- (706) 278-2105
- Fax
- (865) 291-3228
- NPI assigned
- Jul 2, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 004465 | GA | Primary |
Addresses
Primary practice location
1200 Memorial Dr
Dalton, GA 30720-2529
Mailing address
PO Box 634909
Cincinnati, OH 45263-6019
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4111791 | Other | TN | BCBS OF TENNESSEE |
| P00310664 | Other | GA | RAILRAOD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1114 Professional Blvd
Dalton, GA 30720-2588
Phone (706) 278-0138
Hospital & facility affiliations
- Hamilton Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004465 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamilton Medical Center, Inc. | Current | Accepting new patients | |
| Ecc Hospitalist Services PC | Current | Accepting new patients | |
| Memorial Health Partners Foundation Inc | Current | Accepting new patients |
Locations
1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
Interoperability endpoints
- josephpaulson@tnmhpf.allscriptsdirect.net
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Dalton, GA
- NPI 1639167026
-
- General Acute Care Hospital
- Dalton, GA
- NPI 1528056066
-
- Hospitalist Physician
- Rome, GA
- NPI 1710108170
-
- Rural Health Clinic/Center
- Trenton, GA
- NPI 1467602482
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dalton, GA
- NPI 1528056066
-
- Psychiatric Hospital Unit
- Dalton, GA
- NPI 1760645782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194998400000",
"number": "1477582252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 634909",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452636019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 MEMORIAL DR",
"city": "DALTON",
"state": "GA",
"postal_code": "307202529",
"telephone_number": "706-278-2105",
"fax_number": "865-291-3228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULSON",
"first_name": "JOSEPH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-02",
"last_updated": "2007-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "004465",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TENNESSEE",
"identifier": "4111791",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILRAOD MEDICARE",
"identifier": "P00310664",
"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 Nov 14, 2007; 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.
- 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.