DARTMOUTH MEDICAL, LLC
NPI 1679347033
Internal Medicine - Endocrinology, Diabetes & Metabolism in Newnan, GA
About Dartmouth Medical, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DARTMOUTH MEDICAL, LLC (NPI 1679347033) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Newnan, Georgia and active in the NPI registry since November 2023. The organization maintains a secondary practice location in Norcross and lists Jian Liang Pang, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dartmouth Medical, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Dartmouth Medical, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Newnan, GA 30265
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Dartmouth Medical LLC's NPI number?
The NPI number for Dartmouth Medical LLC is 1679347033. It was assigned to this organization in the NPPES registry on November 7, 2023. The provider is also known as Dartmouth Medical, LLC.
Where is Dartmouth Medical LLC located?
Dartmouth Medical LLC is located at 2959 Sharpsburg Mccullum Rd # 103, Newnan, GA 30265. The listed phone number is (617) 610-9339.
What is Dartmouth Medical LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.
Is Dartmouth Medical LLC enrolled in Medicare?
Yes. Dartmouth Medical LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dartmouth Medical LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Endocrinology) reassigns their Medicare billing to Dartmouth Medical LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Dartmouth Medical LLC was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dartmouth Medical, Llc · NPI 1679347033
Endocrinology, Diabetes & Metabolism organization in Newnan, Georgia. Organization record, active in the CMS NPPES registry since November 7, 2023.
## Identity
- **NPI:** 1679347033 (Entity type: Organization)
- **Enumerated:** November 7, 2023
- **Primary specialty:** Internal Medicine - Endocrinology, Diabetes & Metabolism · taxonomy 207RE0101X
- **Legal business name:** Dartmouth Medical Llc
- **Organization subpart:** No
- **Authorized official:** Jian Pang, CEO
## Practice location
- **Address:** 2959 SHARPSBURG MCCULLUM RD # 103, Newnan, GA 30265-2297
- **Phone:** (617) 610-9339
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Endocrinology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1679347033) · Data from the CMS NPPES public registry.