Dallas Family Practice Center PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

16148 Issued in GA

Legal business name

DALLAS FAMILY PRACTICE CENTER PA

Practice address

318 Main St
Ste B
Dallas, GA 30132-4266

Phone

(770) 445-1095

Fax

(770) 445-5361

NPI assigned

Jun 12, 2005

Last updated

Dec 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John G Sparti, D.O.

Title

President/Physician

Phone

(770) 445-1095

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1118534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1568466035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 89",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301320002",
            "telephone_number": "770-445-1095",
            "fax_number": "770-445-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 MAIN ST",
            "address_2": "STE B",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301324266",
            "telephone_number": "770-445-1095",
            "fax_number": "770-445-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS FAMILY PRACTICE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-12",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "SPARTI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "770-445-1095",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "16148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00063764A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Dallas, GA
• Providers in Dallas, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.