NPIMap

Organization Active NPI

Southern Health Corporation of Dahlonega, Inc

  • Family Medicine Physician
  • Dahlonega, GA
National Provider Identifier
1619201357
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SOUTHERN HEALTH CORPORATION OF DAHLONEGA, INC
Practice address
227 Mountain Dr
Dahlonega, GA 30533-1606
Phone
(706) 864-4012
Fax
(706) 864-4912
NPI assigned
Sep 29, 2009
Organization subpart
Yes
Parent organization
SOUTHERN HEALTH CORPORATION OF DAHLONEGA, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Authorized official

Name
Mr. Aaron Durall
Title
Chief Executive Officer
Phone
(706) 867-4311

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X GA Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X GA
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X GA

Addresses

Primary practice location

227 Mountain Dr
Dahlonega, GA 30533-1606

Mailing address

227 Mountain Dr
Dahlonega, GA 30533-1606
Phone (706) 867-4311

Other names 1

  • Chestatee Medical Group Doing business as

National Provider Directory

National Provider Directory
Part of
Southern Health Corporation

Locations

309 Pirkle Ferry Rd
Ste D100
Cumming, GA 30040
Phone (678) 771-8940

199 Mountain Dr
Ste 101
Dahlonega, GA 30533
Phone (706) 867-4303

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1619201357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 MOUNTAIN DR",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331606",
            "telephone_number": "706-867-4311",
            "fax_number": "706-864-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 MOUNTAIN DR",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331606",
            "telephone_number": "706-864-4012",
            "fax_number": "706-864-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HEALTH CORPORATION OF DAHLONEGA, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN HEALTH CORPORATION OF DAHLONEGA, INC",
        "enumeration_date": "2009-09-29",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "DURALL",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "706-867-4311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chestatee Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 8, 2017; 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.