Active NPI
TMC Infectious Diseases of West Georgia
- Infectious Disease Physician
- Carrollton, GA
National Provider Identifier
1811924251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- TMC INFECTIOUS DISEASES OF WEST GEORGIA
- Practice address
- 705 Dixie St
C/O ICU
Carrollton, GA 30117-3818 - Phone
- (770) 836-9666
- Fax
- (770) 838-8922
- NPI assigned
- Jun 28, 2006
- Last updated
- May 14, 2008
- 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
- Debbi Macaluso Peare
- Title
- Director of Financial Operations
- Phone
- (770) 838-8554
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Primary |
Addresses
Primary practice location
705 Dixie St
C/O ICU
Carrollton, GA 30117-3818
Mailing address
119 Ambulance Dr
Auite 202
Carrollton, GA 30117-3857
Phone (770) 836-9250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DG2920 | Other | GA | MEDICARE ID |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210723200000",
"number": "1811924251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 AMBULANCE DR",
"address_2": "AUITE 202",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173857",
"telephone_number": "770-836-9250",
"fax_number": "770-836-9261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 DIXIE ST",
"address_2": "C/O ICU",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173818",
"telephone_number": "770-836-9666",
"fax_number": "770-838-8922"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TMC INFECTIOUS DISEASES OF WEST GEORGIA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-28",
"last_updated": "2008-05-14",
"status": "A",
"authorized_official_last_name": "MACALUSO PEARE",
"authorized_official_first_name": "DEBBI",
"authorized_official_title_or_position": "DIRECTOR OF FINANCIAL OPERATIONS",
"authorized_official_telephone_number": "770-838-8554"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "DG2920",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, GA
- TMC Carousel Pediatrics Inc
- TMC Carrollton Family Healthcare, Inc (Carrollton Family Healthcare)
- TMC Children's Healthcare of West Georgia
- TMC Home Health Inc
- TMC Hospice Care, Inc.
- TMC Internal Medicine of Carrollton Inc
- TMC Tanner Pain Management Center, Inc. (Tanner Pain Management Center)
- TMC Villa Rica Hospital, Inc (NW Ga Oncology Ctr Retail Pharmacy - TMC/Villa Rica)
- TMC West Georgia Cardiology Inc (Tanner Heart & Vascular Specialists)
- TMC-West Georgia Anesthesia Associates Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.