GOOD SHEPHERD CLINIC OF DAWSON COUNTY, INC.
NPI 1083491799
Clinic/Center - Community Health in Dawsonville, GA

Active since September 14, 2023CLIA 11D2163156 · Waiver
45 MEDICAL CENTER DR, DAWSONVILLE, GA 30534(706) 429-9914(706) 429-9921 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Community Health
  • CLIA Number: 11D2163156
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 03-07-2027

About GOOD SHEPHERD CLINIC OF DAWSON COUNTY, INC.

This page provides the complete NPI Profile along with additional information for Good Shepherd Clinic Of Dawson County, Inc., a primary care provider established in Dawsonville, Georgia operating as a Clinic/center, focusing in community health . The healthcare provider is registered in the NPI registry with number 1083491799 assigned on September 2023. The practitioner's primary taxonomy code is 261QC1500X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Dr. David K Moore Md (Medical Director)

NPI
1083491799 Verify this NPI
Provider Name
GOOD SHEPHERD CLINIC OF DAWSON COUNTY, INC.
Entity Type
Organization
Location Address
45 MEDICAL CENTER DR DAWSONVILLE, GA 30534
Location Phone
(706) 429-9914
Location Fax
(706) 429-9921
Mailing Address
452 HIGHWAY 53 E UNIT 1009 DAWSONVILLE, GA 30534
Mailing Phone
(706) 429-9914
Mailing Fax
(706) 429-9921
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-14-2023
Last Update Date
09-14-2023
Code Navigator

A primary care provider (PCP) like Good Shepherd Clinic Of Dawson County, Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Community Health

Taxonomy Code
261QC1500X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DAVID K MOORE MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(404) 805-4834

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2163156
Facility Type
Community Clinic
Certificate Effective Date
March 08, 2025
Certificate Expiration Date
March 07, 2027
Laboratory Director
DAVID K. MOORE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Good Shepherd Clinic Of Dawson County, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for GOOD SHEPHERD CLINIC OF DAWSON COUNTY, INC.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083491799, enumerated as an "organization" on September 14, 2023.

The provider is located at 45 MEDICAL CENTER DR DAWSONVILLE, GA 30534 and the phone number is (706) 429-9914.

Clinic/Center with taxonomy code 261QC1500X and a focus in Community Health.