MRS. ITA G. DORE
NPI 1427374255
Counselor - Professional in Woodstock, GA

Q: What is Ita Dore's NPI number?

The NPI number for Ita Dore is 1427374255. It was assigned to this individual provider in the NPPES registry on April 19, 2010. The provider is also known as Mrs. Ita G. Dore Ms.

Q: What is Ita Dore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Ita Dore was last updated on April 21, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 19, 2010PECOS Enrolled

409 OLD BORING LN, WOODSTOCK, GA 30189(770) 928-7300(770) 928-7558 Get Directions Write a Review

NPPES record last updated: April 21, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Ita G. Dore NPPES

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

MRS. ITA G. DORE (NPI 1427374255) is an individual professional provider in Woodstock, Georgia and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1427374255

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. ITA G. DORE

Location Address409 OLD BORING LNWoodstock, GA 30189-2495

Mailing Address409 Old Boring LnWoodstock, GA 30189-2495 · (770) 928-7300 · Fax (770) 928-7558

Phone(770) 928-7300

Fax(770) 928-7558

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateApril 19, 2010

Last NPPES UpdateApril 21, 2010

✔ NPI 1427374255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

409 OLD BORING LN, Woodstock, GA 30189

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Other Names 1

Professional Name (2)Mrs. Ita G. Dore Ms

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Ita G. Dore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507230067

PECOS Enrollment IDI20230401000085

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.

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Other Providers at the Same Location NPPES 16

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

MRS. LILY GAYLOR MOORE-COLL LAPC

Counselor (Professional)