Dima Care, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DIMA CARE, INC

Doing business as

Commerce Urgent Care & Family Practice

Practice address

415 Pottery Factory Dr
Commerce, GA 30529-6682

Phone

(706) 336-0074

Fax

(706) 336-0079

NPI assigned

May 21, 2021

Last updated

May 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heather Lackey

Title

Practice Manager

Phone

(706) 336-0074

Specialties & licenses 1

Addresses

Other names 1

• Commerce Urgent Care & Family Practice Doing business as

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

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa Aguilar

  • Family Nurse Practitioner
  • Commerce, GA
  • NPI 1871136770

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Rasheeda Japaka Freeman, FNP-C

  • Family Nurse Practitioner
  • Commerce, GA
  • NPI 1588950851
  Medicare reassignment Care Compare group NPD
• Erin D London, M.D.

  • Family Medicine Physician
  • Watkinsville, GA
  • NPI 1851359038
  Medicare reassignment Care Compare group NPD
• Dana Williams Moore

  • Family Nurse Practitioner
  • Commerce, GA
  • NPI 1487374161
  Medicare reassignment Care Compare group NPD
• Melodie Olivieri, FNP

  • Family Nurse Practitioner
  • Lawrenceville, GA
  • NPI 1013774033
  Medicare reassignment Care Compare group NPD
• Donish Siddiqi, MD

  • Family Medicine Physician
  • Holly Springs, GA
  • NPI 1194168252
  Medicare reassignment Care Compare group NPD
• Charlton Dean Barber

  • Family Nurse Practitioner
  • Watkinsville, GA
  • NPI 1124607783
  Medicare reassignment NPD
• Sonya Lynn Dicara, NP-C

  • Family Nurse Practitioner
  • Bowman, GA
  • NPI 1841586328
  Medicare reassignment NPD
• Joshua F Gastley, NP-C

  • Family Nurse Practitioner
  • Maysville, GA
  • NPI 1366776445
  Medicare reassignment NPD
• Olalekan Henry Ajibowo, MD

  • Internal Medicine Physician
  • Commerce, GA
  • NPI 1235320151
  NPD

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1699340612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 POTTERY FACTORY DR",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305296682",
            "telephone_number": "706-336-0074",
            "fax_number": "706-336-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 POTTERY FACTORY DR",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305296682",
            "telephone_number": "706-336-0074",
            "fax_number": "706-336-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMA CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "LACKEY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "706-336-0074"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Commerce Urgent Care & Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jake Davis, PHARMD
• Daybreak Emergency Physicians, LLC
• Dentalhome
• Derek Haden, OD PC (Haden Eye Center)
• Himanshu Haridutt Desai, RPH
• Dima Health Management, Inc (Commerce Urgent Care & Family Practice)
• Claire Mameli Dipalma, PA-C
• Roy E Doss, OD.
• Shelia Doss
• Charles Seidel Dwozan, PT, DPT

• Family Medicine Physician in Commerce, GA
• Providers in Commerce, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.