Internal Medicine Associates of Dalton Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

48336 Issued in GA

Legal business name

INTERNAL MEDICINE ASSOCIATES OF DALTON INC

Practice address

1209 W Walnut Ave
Suite 6
Dalton, GA 30720-3961

Phone

(706) 226-5300

Fax

(706) 226-6277

NPI assigned

Jun 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David Stephen Carson Sr., M.D.NPI 1679575484

Title

Ceo

Phone

(706) 226-5300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• David Stephen Carson Sr., MD

  • Internal Medicine Physician
  • Dalton, GA
  • NPI 1679575484
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1181347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264377600000",
    "number": "1578766176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 W WALNUT AVE",
            "address_2": "SUITE 6",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203961",
            "telephone_number": "706-226-5300",
            "fax_number": "706-226-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 W WALNUT AVE",
            "address_2": "SUITE 6",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203961",
            "telephone_number": "706-226-5300",
            "fax_number": "706-226-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOCIATES OF DALTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-09",
        "last_updated": "2010-01-25",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-226-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "48336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Dalton, GA
• Providers in Dalton, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.