Active NPI
North Georgia Surgical Group LLC
- Surgery Physician
- Dalton, GA
National Provider Identifier
1700157880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 020574
- Legal business name
- NORTH GEORGIA SURGICAL GROUP LLC
- Practice address
- 1504 N Thornton Ave
Suite 101B
Dalton, GA 30720-8394 - Phone
- (706) 278-0351
- NPI assigned
- Jan 20, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William H Lumpkin, MD
- Title
- Sole MBR
- Phone
- (706) 278-0351
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 020574 | GA | Primary |
Addresses
Primary practice location
1504 N Thornton Ave
Suite 101B
Dalton, GA 30720-8394
Mailing address
1801 Huntington Woods Way
Dalton, GA 30720-3838
Phone (706) 248-0351
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01281439 | Other | GA | AMERIGROUP |
| N0503836 | Other | GA | WELLCARE |
| 000180353C | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
1504 N Thornton Ave
Ste 101B
Dalton, GA 30720
Phone (706) 278-0351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1700157880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 HUNTINGTON WOODS WAY",
"city": "DALTON",
"state": "GA",
"postal_code": "307203838",
"telephone_number": "706-248-0351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 N THORNTON AVE",
"address_2": "SUITE 101B",
"city": "DALTON",
"state": "GA",
"postal_code": "307208394",
"telephone_number": "706-278-0351"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH GEORGIA SURGICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-20",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "LUMPKIN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "SOLE MBR",
"authorized_official_telephone_number": "706-278-0351",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "GA",
"license": "020574",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "01281439",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "N0503836",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000180353C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dalton, GA
- North Georgia Neurological Institute
- North Georgia Radiology
- North Georgia Sleep Solutions, LLC
- North Georgia Surgery and Comprehensive Breast Center
- North Georgia Surgical Associates
- North Georgia Urology Center
- North Georgia Urology Center, PC, Inc
- North Georgia Women's Center, Inc.
- Northland Hearing Centers Inc (Audibel Hearing aid Centers)
- Northwest Georgia Dialysis Services, LLC (BMA Dalton)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.