<unavail> in Dalton, GA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center) in Dalton, Georgia. The current practice location for is 1209 Starr Dr, Dalton, Georgia. For appointments, you can reach them via phone at (706) 217-1926. The mailing address for is 150 4th Ave N Ste 2300, Nashville, Tennessee and phone number is (979) 704-6547.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1124766555. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (706) 217-1926.

Contact Information


	1209 Starr Dr Dalton GA 30720-2578
	(706) 217-1926
	(706) 217-1927

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1209 Starr Dr, Dalton, Georgia
Authorized Official Name and Position	John Kerndl (PRESIDENT & CEO)
Authorized Official Contact	9797046547
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
150 4th Ave N Ste 2300 Nashville TN 37219-2466 Ph: (979) 704-6547	1209 Starr Dr Dalton GA 30720-2578 Ph: (706) 217-1926

NPI Details:

NPI Number	1124766555
Provider Enumeration Date	05/25/2022
Last Update Date	06/24/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	3678709441
Medicare Enrollment ID	O20220714000391

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124766555	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Anthony G Captain
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1023035094 PECOS PAC ID: 0749259661 Enrollment ID: I20050228000463

Provider Name	Brooklyn M Hale
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1598439648 PECOS PAC ID: 5395133870 Enrollment ID: I20211103000219

Reviews and Comments

Clinic/Center in Dalton, GA

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The Deo Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 N Fredrick St, Dalton, GA 30721 Phone: 706-581-2009 Fax: 706-529-5055
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2305 Abutment Rd, Dalton, GA 30721 Phone: 706-532-2588 Fax: 706-532-2589
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 Shugart Rd, Dalton, GA 30720 Phone: 706-277-7661 Fax: 706-277-7669

- Medicare Primary Care in Dalton, GA