Individual provider Active NPI

Paula Bingham, OTR

  • Occupational Therapist
  • Dahlonega, GA
National Provider Identifier
1619047149
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
00578 Issued in GA
Practice address
422 Skyline Dr
Dahlonega, GA 30533-0343
Phone
(706) 864-2851
Fax
(706) 864-2851
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 00578 GA Primary

Addresses

Primary practice location

422 Skyline Dr
Dahlonega, GA 30533-0343

Mailing address

422 Skyline Dr
Dahlonega, GA 30533-0343
Phone (706) 864-2851

Other identifiers 1

IdentifierTypeStateIssuer
00804603BMedicaidGA

Other names 1

  • Paula Bingham Professional name

Organizations & group practices 1

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00578GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lanier Therapy in Motion PastSince Sep 15, 2019 Accepting new patients

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1619047149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 SKYLINE DR",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305330343",
            "telephone_number": "706-864-2851",
            "fax_number": "706-864-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 SKYLINE DR",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305330343",
            "telephone_number": "706-864-2851",
            "fax_number": "706-864-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "PAULA",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "00578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00804603B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "BINGHAM",
            "credential": "OTR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dahlonega, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.