Organization Active NPI

Foothills Family Medicine Inc

  • Family Medicine Physician
  • Dahlonega, GA
National Provider Identifier
1992830996
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FOOTHILLS FAMILY MEDICINE INC
Practice address
1300 S Chestatee
Dahlonega, GA 30533-5503
Phone
(706) 867-6005
Fax
(706) 867-6012
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ben Harrell, M.D.
Title
Owner
Phone
(706) 867-6005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1300 S Chestatee
Dahlonega, GA 30533-5503

Mailing address

1300 S Chestatee
Dahlonega, GA 30533-5503
Phone (706) 867-6005

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1012846Foothills Family Medicine of Dahlonega1300 South Chestatee Street, Dahlonega, GA 30533Provider-performed microscopyJul 7, 2027

National Provider Directory

National Provider Directory

Locations

1300 S Chestatee
Dahlonega, GA 30533
Phone (706) 867-6005

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9034/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992830996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S CHESTATEE",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305335503",
            "telephone_number": "706-867-6005",
            "fax_number": "706-867-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S CHESTATEE",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305335503",
            "telephone_number": "706-867-6005",
            "fax_number": "706-867-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-867-6005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dahlonega, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.