Individual provider Active NPI

Nathan John Ott, PHARMD

  • Pharmacist
  • Dalton, GA
National Provider Identifier
1851551188
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
023936 Issued in GA
Practice address
1308 W Walnut Ave
Dalton, GA 30720-3827
Phone
(706) 270-5884
Fax
(706) 270-9795
NPI assigned
Jun 10, 2008
Last updated
Jan 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 023936 GA Primary

Addresses

Primary practice location

1308 W Walnut Ave
Dalton, GA 30720-3827

Mailing address

1308 W Walnut Ave
Dalton, GA 30720-3827
Phone (706) 270-5884

Other practice location 1

1287 N Glenwood Ave
Dalton, GA 30721-2603
Phone (706) 259-9223 ext. 2

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)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
023936GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
K VA T Food Stores Inc Past Accepting new patients

Organizations & group practices 1

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": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1851551188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 W WALNUT AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203827",
            "telephone_number": "706-270-5884",
            "fax_number": "706-270-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 W WALNUT AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203827",
            "telephone_number": "706-270-5884",
            "fax_number": "706-270-9795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1287 N Glenwood Ave",
            "address_purpose": "LOCATION",
            "city": "Dalton",
            "state": "GA",
            "postal_code": "307212603",
            "country_code": "US",
            "telephone_number": "706-259-9223 x2",
            "fax_number": "706-259-3291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTT",
        "first_name": "NATHAN",
        "middle_name": "JOHN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "023936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.