Individual provider Active NPI

Elton Strickland, M.D.

  • Specialist
  • Dalton, GA
National Provider Identifier
1760487144
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
024104 Issued in GA
Practice address
1407 N Thornton Ave
Dalton, GA 30720-3093
Phone
(706) 278-7224
Fax
(706) 275-6261
NPI assigned
Jun 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 024104 GA Primary

Addresses

Primary practice location

1407 N Thornton Ave
Dalton, GA 30720-3093

Mailing address

PO Box 2546
Dalton, GA 30722-2546
Phone (706) 259-4428

Other identifiers 1

IdentifierTypeStateIssuer
300041634OtherGARAILROAD MEDICARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050923000743 GA Practitioner - Diagnostic Radiology 2769416270 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Georgia Radiology Specialist CurrentSince Dec 2, 2014 Accepting new patients
GBM Enterprises, Inc. Past Accepting new patients

Locations

1407 N Thornton Ave
Dalton, GA 30720
Phone (706) 259-4428

1109 Burleyson Rd
#S101
Dalton, GA 30720
Phone (706) 278-7224

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1760487144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2546",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307222546",
            "telephone_number": "706-259-4428",
            "fax_number": "706-226-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 N THORNTON AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203093",
            "telephone_number": "706-278-7224",
            "fax_number": "706-275-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRICKLAND",
        "first_name": "ELTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "024104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300041634",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.