<unavail> in Dalton, GA - Medicare Family Medicine

is a medicare enrolled primary clinic (Family Medicine) in Dalton, Georgia. The current practice location for is 2709 Airport Rd, Suite 101, Dalton, Georgia. For appointments, you can reach them via phone at (706) 275-4444. The mailing address for is 2709 Airport Rd, Suite 101, Dalton, Georgia and phone number is (706) 275-4444.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1033263769. 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) 275-4444.

Contact Information


	2709 Airport Rd Suite 101 Dalton GA 30721-0252
	(706) 275-4444
	(706) 275-6515

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	2709 Airport Rd, Dalton, Georgia
Authorized Official Name and Position	Holly Bullock (PRACTICE MANAGER)
Authorized Official Contact	7062754444
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
2709 Airport Rd Suite 101 Dalton GA 30721-0252 Ph: (706) 275-4444	2709 Airport Rd Suite 101 Dalton GA 30721-0252 Ph: (706) 275-4444

NPI Details:

NPI Number	1033263769
Provider Enumeration Date	01/22/2007
Last Update Date	07/12/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	2365342185
Medicare Enrollment ID	O20040109000344

Medical Identifiers

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

Identifier	Type	State	Issuer
1033263769	NPI	-	NPPES
GRP1425	Other	GA	MEDICARE GROUP #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Primary
208D00000X	General Practice	(* (Not Available))	Secondary

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	Deborah L Rayner
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1386281806 PECOS PAC ID: 7618391400 Enrollment ID: I20201029001078

Provider Name	Gregory A Green
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1699318303 PECOS PAC ID: 6608286752 Enrollment ID: I20201102000884

Reviews and Comments

Family Medicine in Dalton, GA

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 Broadrick Dr, Dalton, GA 30720 Phone: 706-529-4266 Fax: 706-529-4269
I D Specialist Dalton P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 E Walnut Ave Ste 4, Dalton, GA 30721 Phone: 706-428-8908
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1209 Starr Dr, Dalton, GA 30720 Phone: 706-217-1926 Fax: 706-217-1927
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