Active NPI
Maggie Louise Dear, PA
- Medical Physician Assistant
- Ellijay, GA
National Provider Identifier
1750627279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 6643
- Practice address
- 60 Highland CT
Suite 201
Ellijay, GA 30540-6773 - Phone
- (706) 698-6400
- Fax
- (706) 698-6401
- NPI assigned
- Jan 3, 2013
- Last updated
- Jan 3, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 6643 | GA | Primary |
Addresses
Primary practice location
60 Highland CT
Suite 201
Ellijay, GA 30540-6773
Mailing address
60 Highland CT
Suite 201
Ellijay, GA 30540-6773
Phone (706) 698-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6643 | GA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357171200000",
"number": "1750627279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 HIGHLAND CT",
"address_2": "SUITE 201",
"city": "ELLIJAY",
"state": "GA",
"postal_code": "305406773",
"telephone_number": "706-698-6400",
"fax_number": "706-698-6401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 HIGHLAND CT",
"address_2": "SUITE 201",
"city": "ELLIJAY",
"state": "GA",
"postal_code": "305406773",
"telephone_number": "706-698-6400",
"fax_number": "706-698-6401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAR",
"first_name": "MAGGIE",
"middle_name": "LOUISE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-03",
"last_updated": "2013-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "6643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellijay, GA
- Shelia Darlene Hill Croft, R.N., M.S.N., FNP-C
- Elizabeth Cruz Landaverde, BCBA
- Danielle A D'Addamio IX, PT
- Rebecca Vinson D'Angelo, OT
- Jill Lorren Darling, D.C.
- Dialysis of North Atlanta LLC (Ellijay Dialysis)
- Dietary Apothecary Inc.
- Michael R Doucette Jr., LDO
- Draneco Inc (Ellijays Bestrx)
- Bradleigh Dyer-McPherson, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.