Lagrange College

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

LAGRANGE COLLEGE

Practice address

601 Broad St
Lagrange, GA 30240-2955

Phone

(706) 880-8099

NPI assigned

Sep 14, 2011

Organization subpart

No

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

Authorized official

Name

Rob DicksNPI 1992739387

Title

Contact Name

Phone

(706) 880-8099

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Rob Antonio Dicks Sr., MA, ATC, LAT

  • Athletic Trainer
  • Lagrange, GA
  • NPI 1992739387
  NPD (past) Authorized official

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1508148636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 819020",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753819020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BROAD ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302402955",
            "telephone_number": "706-880-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGRANGE COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "DICKS",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "CONTACT NAME",
        "authorized_official_telephone_number": "706-880-8099"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lafayette Neurology, PC
• Lafayette Surgery Center LLC
• Lagrange Cardiovascular Center LLC
• Lagrange Care Center LLC
• Lagrange Clinic of Chiropractic Incorporated
• Lagrange Emergency Physicians, LLC
• Lagrange Eye, LLC
• Lagrange Family Counseling, LLC
• Lagrange Family Dental Center (George W Baker Jr)
• Lagrange Family Medicine

• Student Health Clinic/Center in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Student Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.