Active NPI
TMC Internal Medicine Associates Villa Rica
Doing business as Villa Rica Family Medicine
- Internal Medicine Physician
- Villa Rica, GA
National Provider Identifier
1730194457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- TMC INTERNAL MEDICINE ASSOCIATES VILLA RICA
- Doing business as
- Villa Rica Family Medicine
- Practice address
- 690 Dallas Hwy
Suite 303
Villa Rica, GA 30180-1209 - Phone
- (770) 456-3790
- Fax
- (770) 456-3785
- NPI assigned
- Jul 30, 2006
- 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
- Dale Dreiling, M.D.
- Title
- Senior VP
- Phone
- (770) 838-8038
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
690 Dallas Hwy
Suite 303
Villa Rica, GA 30180-1209
Mailing address
119 Ambulance Dr
Suite 202
Carrollton, GA 30117-3857
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH5396 | Other | GA | MEDICARE ID |
Other names 1
- Villa Rica Family Medicine
National Provider Directory
National Provider DirectoryLocations
705 Dallas Hwy
Ste 301B
Villa Rica, GA 30180
Phone (770) 456-3415
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Austell, GA
- NPI 1619966116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277856000000",
"number": "1730194457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 AMBULANCE DR",
"address_2": "SUITE 202",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173857",
"fax_number": "770-836-9261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 DALLAS HWY",
"address_2": "SUITE 303",
"city": "VILLA RICA",
"state": "GA",
"postal_code": "301801209",
"telephone_number": "770-456-3790",
"fax_number": "770-456-3785"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TMC INTERNAL MEDICINE ASSOCIATES VILLA RICA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-30",
"last_updated": "2010-06-30",
"status": "A",
"authorized_official_last_name": "DREILING",
"authorized_official_first_name": "DALE",
"authorized_official_title_or_position": "SENIOR VP",
"authorized_official_telephone_number": "770-838-8038",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "CH5396",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Villa Rica Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Villa Rica, GA
- Hilary Theresa Thompson-Pierre, RN
- Thrive EMS LLC
- Winnfred Timmons, LCSW
- TMC Gastroenterology Associates Inc
- TMC Immediate Care, Inc (Tanner Urgent Care)
- TMC Internal Medicine of Villa Rica, Inc. (Internal Medicine of Villa Rica)
- TMC Tanner Gynecology Inc (Villa Rica Obstetrics and Gynecology)
- TMC West Georgia Behavioral Health Inc (West Georgia Behavioral Health)
- TMC West Georgia Family Medicine Inc (West Georgia Family Medicine)
- TMC-Behavioral Health of West Georgia (Behavioral Health of West Georgia)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.