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ERICK DOMINGUEZ FNP
NPI 1114816113
Nurse Practitioner - Family in Dalton, GA

Active since July 02, 2025PECOS EnrolledAccepts Medicare Assignment
1743 RAINBOW CIR NE, DALTON, GA 30721(706) 280-8636 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1114816113
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameERICK DOMINGUEZCredential: FNP
Location Address1743 RAINBOW CIR NEDalton, GA 30721-7060
Mailing Address1743 Rainbow Cir NeDalton, GA 30721-7060 · (706) 280-8636
Phone(706) 280-8636
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 2, 2025
NPPES CertifiedJuly 1, 2025
✔ NPI 1114816113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN279732
1743 RAINBOW CIR NE, Dalton, GA 30721
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID648764134
PECOS Enrollment IDI20251211002268
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

When was this NPI record last updated?

The NPPES record for Erick Dominguez was last updated on July 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.