Individual provider Active NPI

Erin D London, M.D.

  • Family Medicine Physician
  • Watkinsville, GA
National Provider Identifier
1851359038
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
045440 Issued in GA
Practice address
1010 Village Dr
Watkinsville, GA 30677
Phone
(706) 769-0000
Fax
(706) 769-0320
NPI assigned
May 3, 2006
Last updated
Nov 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 045440 GA Primary

Addresses

Primary practice location

1010 Village Dr
Watkinsville, GA 30677

Mailing address

1010 Village Dr
Watkinsville, GA 30677-6004
Phone (706) 769-0000

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
I20070913000295 GA Practitioner - Family Practice 7719079243 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Mercer University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Southeast Permanente Medical GroupGroup PAC ID 6204829013, 823 clinicians
Dima Care, IncGroup PAC ID 4385036011, 6 clinicians

Practice addresses (Care Compare)

3495 Piedmont Rd NE
Atlanta, GA 30305-1729
Phone (404) 364-7206

415 Pottery Factory Dr
Commerce, GA 30529-6682
Phone (706) 336-0074

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Southeast Permanente Medical Group Family Medicine CurrentSince Mar 5, 2024 Accepting new patients
Peachtree Immediate Care FP, LLC Family Medicine CurrentSince Feb 1, 2016 Accepting new patients
Dima Care, Inc Family Medicine CurrentSince Aug 17, 2021 Accepting new patients
Family First Care of Commerce, LLC CurrentSince Aug 23, 2012 Accepting new patients
Wendy L Smith M.D. PC Past Accepting new patients
Northeast Georgia Medical Center, Inc. Past Accepting new patients

Locations

3540 Cobb Pkwy NW
Acworth, GA 30101
Phone (770) 974-3911

10905 Haynes Bridge Rd
Alpharetta, GA 30022
Phone (770) 343-9898

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

3425 Buford Dr
Ste 200
Buford, GA 30519
Phone (678) 546-0200

415 Pottery Factory Dr
Commerce, GA 30529
Phone (706) 336-0074

9390 The Landing Dr
Douglasville, GA 30135
Phone (770) 947-1112

3551 Satellite Blvd
Duluth, GA 30096
Phone (770) 476-3000

1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

2481 George Busbee Pkwy NW
Kennesaw, GA 30144
Phone (770) 423-0000

3720 Holcomb Bridge Rd
Peachtree Corners, GA 30092
Phone (770) 263-1000

Interoperability endpoints

  • Direct secure messaging: dimacareinc.erinlondon@151968.advancedmd-direct.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1851359038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 VILLAGE DR",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306776004",
            "telephone_number": "706-769-0000",
            "fax_number": "706-769-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 VILLAGE DR",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "30677",
            "telephone_number": "706-769-0000",
            "fax_number": "706-769-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONDON",
        "first_name": "ERIN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "045440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

Verify at the official NPI Registry.