NPIMap

Organization Active NPI

DX Mso of Georgia LLC

  • Multi-Specialty Clinic/Center
  • Dalton, GA
National Provider Identifier
1922757111
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
DX MSO OF GEORGIA LLC
Practice address
1302 W Walnut Ave Ste 1
Dalton, GA 30720-3827
Phone
(423) 476-5990
Fax
(423) 476-5887
NPI assigned
Mar 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Mr. Charles Todd Rudolph, MDNPI 1346351673
Title
Medical Director
Phone
(423) 322-5050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

1302 W Walnut Ave Ste 1
Dalton, GA 30720-3827

Mailing address

1025 Peerless Crossing NW
Cleveland, TN 37312-3764
Phone (423) 476-5990

Other names 1

  • AFC Urgent Care and Family Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220726000839 GA Part B Supplier - Clinic/Group Practice 1153702931 Receives reassigned benefits from 22 practitioners
Practice locations: Dalton, GA
O20231207000014 GA DME Supplier - Multi-Specialty - Physician 1153702931 Practice locations: Dalton, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1922757111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 PEERLESS CROSSING NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123764",
            "telephone_number": "423-476-5990",
            "fax_number": "423-476-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 W WALNUT AVE STE 1",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203827",
            "telephone_number": "423-476-5990",
            "fax_number": "423-476-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DX MSO OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "RUDOLPH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "423-322-5050",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFC Urgent Care and Family Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AFC Urgent Care and Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.