Ipc Dalton ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

IPC DALTON ASC LLC

Practice address

1502 Dug Gap Rd
Dalton, GA 30720-5004

Phone

(706) 847-0826

Fax

(706) 529-9850

NPI assigned

Mar 18, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Joshua Lidelle Hare, DONPI 1811121924

Title

Medical Director

Phone

(706) 847-0826

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Ambulatory surgical center certification: CCN 11C0001597

Legal name

IPC Dalton ASC, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Mar 9, 2026

Last certification

Mar 9, 2026

Ownership / control type

Proprietary

Facility address

1502 DUG GAP Road
Dalton, GA 30720

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

CLIA laboratory certificates

Practitioners 1

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

• Joshua Lidelle Hare, D.O.

  • Addiction Medicine (Preventive Medicine) Physician
  • Chattanooga, TN
  • NPI 1811121924
  NPD Authorized official

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1619777653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 DUG GAP RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307205004",
            "telephone_number": "706-847-0826",
            "fax_number": "706-529-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 DUG GAP RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307205004",
            "telephone_number": "706-847-0826",
            "fax_number": "706-529-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IPC DALTON ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "HARE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "LIDELLE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "706-847-0826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integra Rehabilitation Agency, LLC (Integra Rehab Agency)
• Integrated Healthcare Center of Dalton, LLC
• Internal Medicine Associates of Dalton Inc
• Internal Medicine Center, Inc.
• Interventional Pain Consultants
• Carol Beth Isenberg, FNP
• Ahmed Ayman Alaaeldin Ismail, MBBCH
• Stephanie Jacinto Orta
• Jacob Jackson
• Joanie Jackson, FNP

• Ambulatory Surgical Clinic/Center in Dalton, GA
• Providers in Dalton, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.