ST. JOSEPH CLINIC, P.C.
NPI 1255480836
Psychiatry & Neurology - Psychiatry in Dalton, GA
About St. Joseph Clinic, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST. JOSEPH CLINIC, P.C. (NPI 1255480836) is a healthcare organization registered as a psychiatry in Dalton, Georgia and active in the NPI registry since January 2007. The organization holds 2 active CLIA laboratory certificates and lists Pablo E Perez, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
St. Joseph Clinic, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to St. Joseph Clinic, P.C., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D1011118
St Joseph Clinic PC · Dalton, GACertificate of Waiver 44D2028094
St Joseph Clinic PC · Chattanooga, TNFrequently 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 St. Joseph Clinic, P.C.'s NPI number?
The NPI number for St. Joseph Clinic, P.C. is 1255480836. It was assigned to this organization in the NPPES registry on January 10, 2007.
Where is St. Joseph Clinic, P.C. located?
St. Joseph Clinic, P.C. is located at 1102 W Waugh St, Dalton, GA 30720. The listed phone number is (706) 277-2321.
What is St. Joseph Clinic, P.C.'s specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is St. Joseph Clinic, P.C. enrolled in Medicare?
Yes. St. Joseph Clinic, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St. Joseph Clinic, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to St. Joseph Clinic, P.C., in Internal Medicine, Nurse Practitioner and Psychiatry. A 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 the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does St. Joseph Clinic, P.C. hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does St. Joseph Clinic, P.C. accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list St. Joseph Clinic, P.C. 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 St. Joseph Clinic, P.C. was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# St. Joseph Clinic, P.c. · NPI 1255480836
Psychiatry organization in Dalton, Georgia. Organization record, active in the CMS NPPES registry since January 10, 2007.
## Identity
- **NPI:** 1255480836 (Entity type: Organization)
- **Enumerated:** January 10, 2007
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Pablo Perez, CEO
## Practice location
- **Address:** 1102 W WAUGH ST, Dalton, GA 30720-8769
- **Phone:** (706) 277-2321 · **Fax:** (706) 226-1492
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Internal Medicine (1), Psychiatry (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 7, 2026
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1255480836) · Data from the CMS NPPES public registry.