SAN PABLO CLINIC, LLC
NPI 1689078842
Clinic/Center - Primary Care in Dalton, GA
About San Pablo Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAN PABLO CLINIC, LLC (NPI 1689078842) is a healthcare organization registered as a primary care in Dalton, Georgia and active in the NPI registry since October 2014. The organization lists Julia Garcia, Member/manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
San Pablo Clinic, 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 San Pablo Clinic, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 San Pablo Clinic, LLC's NPI number?
The NPI number for San Pablo Clinic, LLC is 1689078842. It was assigned to this organization in the NPPES registry on October 17, 2014.
Where is San Pablo Clinic, LLC located?
San Pablo Clinic, LLC is located at 1301 Broadrick Dr, Dalton, GA 30720. The listed phone number is (706) 270-5990.
What is San Pablo Clinic, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is San Pablo Clinic, LLC enrolled in Medicare?
Yes. San Pablo Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through San Pablo Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to San Pablo Clinic, 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 San Pablo Clinic, LLC was last updated on October 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# San Pablo Clinic, Llc · NPI 1689078842
Primary Care organization in Dalton, Georgia. Organization record, active in the CMS NPPES registry since October 17, 2014.
## Identity
- **NPI:** 1689078842 (Entity type: Organization)
- **Enumerated:** October 17, 2014
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Julia Garcia, MEMBER/MANAGER
## Practice location
- **Address:** 1301 BROADRICK DR, Dalton, GA 30720-3008
- **Phone:** (706) 270-5990 · **Fax:** (706) 270-5992
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 17, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1689078842) · Data from the CMS NPPES public registry.