NPIMap

Organization Active NPI

Toccoa Clinic Medical Associates, LLP

  • Multi-Specialty Clinic/Center
  • Toccoa, GA
National Provider Identifier
1609896885
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
TOCCOA CLINIC MEDICAL ASSOCIATES, LLP
Practice address
58 Big a Rd
Toccoa, GA 30577-6000
Phone
(706) 886-3148
NPI assigned
Jul 20, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
David Cronic
Title
Administrator
Phone
(706) 886-7537

Practitioners 51

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

View all 51

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040301000262 GA Part B Supplier - Clinic/Group Practice 5597652164 Receives reassigned benefits from 41 practitioners
Practice locations: Toccoa, GA; Lavonia, GA; Demorest, GA; Commerce, GA; Clarkesville, GA; Hartwell, GA

National Provider Directory

National Provider Directory

Locations

437 E Louise St
Clarkesville, GA 30523
Phone (706) 754-5437

30 Cottonwood St
Clayton, GA 30525
Phone (706) 782-5044

100 Medical Center Dr
Commerce, GA 30529
Phone (706) 335-1104

611 Hospital Rd
Commerce, GA 30529
Phone (706) 356-4392

101 Adams Dr
Ste B
Demorest, GA 30535
Phone (706) 839-1333

121 Big a Rd N
Toccoa, GA 30577
Phone (706) 886-6069

334 Big a Rd
Toccoa, GA 30577
Phone (706) 886-5214

633 Falls Rd
Toccoa, GA 30577
Phone (706) 754-7485

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

NPPES NPI Registry

Primary practice location

58 Big a Rd
Toccoa, GA 30577-6000

Mailing address

PO Box 8848
Belfast, ME 04915-8848
Phone (513) 632-4885

Other names 1

NPPES NPI Registry
  • Lavonia Clinic Medical Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 17, 2022.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1609896885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8848",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049158848",
            "telephone_number": "513-632-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 BIG A RD",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305776000",
            "telephone_number": "706-886-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOCCOA CLINIC MEDICAL ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "CRONIC",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-886-7537"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lavonia Clinic Medical",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Lavonia Clinic Medical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Toccoa, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.