Malcolm Paul Dulock, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

013268 Issued in GA

Practice address

319 Canton Rd
Cumming, GA 30040-2213

Phone

(678) 456-8200

Fax

(678) 456-8201

NPI assigned

Oct 13, 2006

Last updated

Nov 18, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1922198647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 CANTON RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402213",
            "telephone_number": "678-456-8200",
            "fax_number": "678-456-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 CANTON RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402213",
            "telephone_number": "678-456-8200",
            "fax_number": "678-456-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULOCK",
        "first_name": "MALCOLM",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "013268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1316141302",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Ducharme
• James William Duckett III, MD
• Jacqueline Bette Ducksworth, PHARMD
• Joseph W Ducksworth, DDS
• Lacey Amanda Duff, PTA
• Lindsay Dunbar, LPC
• R Matthew Dunford, D.M.D.
• Hannah Kristian Dunn, FNP
• Hannah Duran, LMSW
• Melissa Thomas Durand, DMD

• Specialist in Cumming, GA
• Providers in Cumming, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.