ERICK DOMINGUEZ FNP
NPI 1114816113
Nurse Practitioner - Family in Dalton, GA
About Erick Dominguez Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERICK DOMINGUEZ FNP (NPI 1114816113) is an individual family provider in Dalton, Georgia, licensed in Georgia (RN279732) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Erick Dominguez Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Erick Dominguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cartersville, GA 30121
- Reassigned Medicare billing, Georgia enrollment
- 3,885 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30721 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Erick Dominguez's NPI number?
The NPI number for Erick Dominguez is 1114816113. It was assigned to this individual provider in the NPPES registry on July 2, 2025.
Where is Erick Dominguez located?
Erick Dominguez practices at 1743 Rainbow Cir NE, Dalton, GA 30721. The listed phone number is (706) 280-8636.
What is Erick Dominguez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Erick Dominguez enrolled in Medicare?
Yes. Erick Dominguez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Erick Dominguez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Erick Dominguez reassigns Medicare benefits to Wellstar Medical Group, LLC (Cartersville, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Erick Dominguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Erick Dominguez accept?
Health plans from Alliant Health Plans, Inc. list Erick Dominguez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Erick Dominguez was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Erick Dominguez, FNP · NPI 1114816113
Family physician in Dalton, Georgia. Individual provider, active in the CMS NPPES registry since July 2, 2025.
## Identity
- **NPI:** 1114816113 (Entity type: Individual)
- **Enumerated:** July 2, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN279732 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1743 RAINBOW CIR NE, Dalton, GA 30721-7060
- **Phone:** (706) 280-8636
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wellstar Medical Group, LLC (NPI 1588059653, Cartersville, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** July 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1114816113) · Data from the CMS NPPES public registry.