DAHLONEGA PEDIATRIC & ADOLESCENT MEDICINE, INC.
NPI 1376096321
Clinical Nurse Specialist - Pediatrics in Dahlonega, GA
About Dahlonega Pediatric & Adolescent Medicine, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAHLONEGA PEDIATRIC & ADOLESCENT MEDICINE, INC. (NPI 1376096321) is a healthcare organization registered as a pediatrics in Dahlonega, Georgia and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through February 15, 2028 and lists Margaret Payne, Nurse Practitioner/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
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 11D1022388
Dahlonega Pediatric And Adolescent Med · Dahlonega, GAOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DAHLONEGA, GA 30533
DAHLONEGA, GA 30533
DAHLONEGA, GA 30533
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 Dahlonega Pediatric & Adolescent Medicine, Inc.'s NPI number?
The NPI number for Dahlonega Pediatric & Adolescent Medicine, Inc. is 1376096321. It was assigned to this organization in the NPPES registry on July 26, 2016.
Where is Dahlonega Pediatric & Adolescent Medicine, Inc. located?
Dahlonega Pediatric & Adolescent Medicine, Inc. is located at 1055 Grove St N, Dahlonega, GA 30533. The listed phone number is (706) 864-6700.
What is Dahlonega Pediatric & Adolescent Medicine, Inc.'s specialty?
The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Pediatrics, with taxonomy code 364SP0200X.
Does Dahlonega Pediatric & Adolescent Medicine, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D1022388) is associated with this NPI, valid through February 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Dahlonega Pediatric & Adolescent Medicine, Inc. was last updated on July 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dahlonega Pediatric & Adolescent Medicine, Inc. · NPI 1376096321
Pediatrics organization in Dahlonega, Georgia. Organization record, active in the CMS NPPES registry since July 26, 2016.
## Identity
- **NPI:** 1376096321 (Entity type: Organization)
- **Enumerated:** July 26, 2016
- **Primary specialty:** Clinical Nurse Specialist - Pediatrics · taxonomy 364SP0200X
- **Organization subpart:** No
- **Authorized official:** Margaret Payne, NURSE PRACTITIONER/OWNER
## Practice location
- **Address:** 1055 GROVE ST N, Dahlonega, GA 30533-3876
- **Phone:** (706) 864-6700
## Record status
- **NPPES last updated:** July 26, 2016
- **Other identifiers:** Medicaid 000489189S (GA)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1376096321) · Data from the CMS NPPES public registry.