Paulding Enterprises, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PAULDING ENTERPRISES, INC.

Practice address

110 Stadium Dr
Dallas, GA 30132-3610

Phone

(770) 445-6051

Fax

(770) 443-2374

NPI assigned

Sep 12, 2011

Organization subpart

No

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

Authorized official

Name

Dawn M. Cable

Title

Executive Director

Phone

(770) 445-6051

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1992087472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 STADIUM DR",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301323610",
            "telephone_number": "770-445-6051",
            "fax_number": "770-443-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 STADIUM DR",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301323610",
            "telephone_number": "770-445-6051",
            "fax_number": "770-443-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULDING ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-12",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "CABLE",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "770-445-6051"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000696847E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000696847D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000696847A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000696847F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paulding Auto Sales
• Paulding County Board of Education
• Paulding County Board of Health
• Paulding County Chiropractic
• Paulding Dermatology
• Paulding Medical Center
• Paulding Medical Center, Inc.
• Peaceful Path Counseling, LLC
• Pediatric Dental Specialist of Acworth
• Pedozone, LLC

• Community/Behavioral Health Agency in Dallas, GA
• Providers in Dallas, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.