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DYNAMIC HEALTHCARE
NPI 1366851552
Nurse Practitioner - Family in Stockbridge, GA

Active since August 13, 2014
130 EAGLE SPRING CT, SUITE A, STOCKBRIDGE, GA 30281(678) 616-2273 Get Directions Write a Review

NPPES record last updated: August 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dynamic Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DYNAMIC HEALTHCARE (NPI 1366851552) is a healthcare organization registered as a family in Stockbridge, Georgia and active in the NPI registry since August 2014. The organization lists Bridget Randolph, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1366851552
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameDYNAMIC HEALTHCARE
Location Address130 EAGLE SPRING CT, SUITE AStockbridge, GA 30281-7274
Mailing Address130 Eagle Spring Ct, Suite AStockbridge, GA 30281-7274 · (678) 616-2273
Phone(678) 616-2273
Organization SubpartNo
Authorized OfficialBridget RandolphNurse Practitioner · (405) 414-6002
Enumeration DateAugust 13, 2014
✔ NPI 1366851552 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 · 230003
130 EAGLE SPRING CT, Stockbridge, GA 30281
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EVA ISABELLE BEAULIEU MD
Internal Medicine
130 EAGLE SPRING CT, SUITE A
STOCKBRIDGE, GA 30281
Henry County (678) 616-2273
BRIJ B GULATI MD
Psychiatry & Neurology (Psychiatry)
130 EAGLE SPRING CT, STE#100A
STOCKBRIDGE, GA 30281
Henry County (678) 284-0133
MUSHARAF MOMIN INC
Internal Medicine
130 EAGLE SPRING CT
STOCKBRIDGE, GA 30281
Henry County (678) 759-2278
PSYCHIATRY ASSOCIATES OF GEORGIA PC
Psychiatry & Neurology (Psychiatry)
130 EAGLE SPRING CT, SUITE 100A
STOCKBRIDGE, GA 30281
Henry County (678) 284-0133

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 Dynamic Healthcare's NPI number?

The NPI number for Dynamic Healthcare is 1366851552. It was assigned to this organization in the NPPES registry on August 13, 2014.

Where is Dynamic Healthcare located?

Dynamic Healthcare is located at 130 Eagle Spring Ct Suite A, Stockbridge, GA 30281. The listed phone number is (678) 616-2273.

What is Dynamic Healthcare's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Dynamic Healthcare was last updated on August 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.