Paulding Medical Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

11101433 Issued in GA

Legal business name

PAULDING MEDICAL CENTER, INC.

Doing business as

WellStar Paulding Nursing Center

Practice address

600 W Memorial Dr
Attn: Carol O'Connell
Dallas, GA 30132-4117

Phone

(470) 644-0012

NPI assigned

Feb 1, 2006

Last updated

Feb 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anthony J Budzinski

Title

Evp

Phone

(470) 644-0012

Specialties & licenses 1

Addresses

Other names 1

• WellStar Paulding Nursing Center Doing business as

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Harold D. Carlson, MD

  • Interventional Cardiology Physician
  • Atlanta, GA
  • NPI 1023013315
  NPD (past)
• Thomas Gearhard, M.D

  • Family Medicine Physician
  • Austell, GA
  • NPI 1538159603
  NPD (past)
• William Carlisle Jacobs, MD

  • Cardiovascular Disease Physician
  • Atlanta, GA
  • NPI 1174528384
  NPD (past)
• Bradford Craig Lipman, MD

  • Cardiovascular Disease Physician
  • Marietta, GA
  • NPI 1740285956
  NPD (past)
• Walter Edward Mashman, MD

  • Cardiovascular Disease Physician
  • Atlanta, GA
  • NPI 1639174840
  NPD (past)
• Iwayemi Olatunde Olayeye, MD

  • Hospitalist Physician
  • Hiram, GA
  • NPI 1831534858
  NPD (past)
• Gregory Paul Petro, MD

  • Cardiovascular Disease Physician
  • McDonough, GA
  • NPI 1124023304
  NPD (past)
• Harvey Norton Sacks, MD

  • Cardiovascular Disease Physician
  • Hiram, GA
  • NPI 1518962703
  NPD (past)
• Abdul Malik Sheikh, MD

  • Interventional Cardiology Physician
  • Hiram, GA
  • NPI 1518925981
  NPD (past)
• Kenneth Gordon Taylor, MD

  • Cardiovascular Disease Physician
  • Atlanta, GA
  • NPI 1053316109
  NPD (past)
• Lance Seth Berger, M.D.

  • Cardiovascular Disease Physician
  • Toms River, NJ
  • NPI 1689679490
  NPD (past)
• Dan Dan, MD

  • Clinical Cardiac Electrophysiology Physician
  • Ogden, UT
  • NPI 1326043472
  NPD (past)

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1962473355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W MEMORIAL DR",
            "address_2": "ATTN: CAROL O'CONNELL",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301324117",
            "telephone_number": "770-443-4762",
            "fax_number": "770-443-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W MEMORIAL DR",
            "address_2": "ATTN: CAROL O'CONNELL",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301324117",
            "telephone_number": "470-644-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULDING MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "BUDZINSKI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "470-644-0012"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "11101433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellStar Paulding Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WellStar Paulding Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paulding County Board of Health (Paulding County Health Department)
• Paulding County Chiropractic
• Paulding Dermatology
• Paulding Enterprises, Inc.
• Paulding Medical Center (WellStar Pharmacy Network Store #4)
• Peaceful Path Counseling, LLC
• Cassandra Pearson
• Pediatric Dental Specialist of Acworth
• Pedozone, LLC
• Suzanne Pengelly

• Skilled Nursing Facility in Dallas, GA
• Providers in Dallas, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.