Active NPI
David Frederick Hermann, MD
- Family Medicine Physician
- Toccoa, GA
National Provider Identifier
1730290933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0039819
- Practice address
- 209 Savannah St W
Suite a
Toccoa, GA 30577-2341 - Phone
- (706) 282-0779
- Fax
- (706) 886-6471
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0039819 | GA | Primary |
Addresses
Primary practice location
209 Savannah St W
Suite a
Toccoa, GA 30577-2341
Mailing address
209 Savannah St W
Suite a
Toccoa, GA 30577-2341
Phone (706) 282-0779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081219000412 | GA | Practitioner - Family Practice | 5294897559 | Practice locations: Toccoa, GA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0039819 | GA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730290933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 SAVANNAH ST W",
"address_2": "SUITE A",
"city": "TOCCOA",
"state": "GA",
"postal_code": "305772341",
"telephone_number": "706-282-0779",
"fax_number": "706-886-6471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 SAVANNAH ST W",
"address_2": "SUITE A",
"city": "TOCCOA",
"state": "GA",
"postal_code": "305772341",
"telephone_number": "706-282-0779",
"fax_number": "706-886-6471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMANN",
"first_name": "DAVID",
"middle_name": "FREDERICK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "0039819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toccoa, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.