THE EAST CLINIC, LLC
NPI 1831563261
Family Medicine in Dallas, GA

Q: What is East Clinic LLC's NPI number?

The NPI number for East Clinic LLC is 1831563261. It was assigned to this organization in the NPPES registry on November 23, 2015. The provider is doing business as The East Clinic, LLC.

Q: What is East Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for East Clinic LLC was last updated on December 3, 2015. 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.

Active since November 23, 2015

539 HARDEE ST, DALLAS, GA 30132(770) 505-0531(770) 485-0570 Get Directions Write a Review

NPPES record last updated: December 3, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 3, 2015, Nov 23, 2015 (2 updates tracked since 2015).

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About The East Clinic, Llc NPPES

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

THE EAST CLINIC, LLC (NPI 1831563261) is a healthcare organization registered as a family medicine in Dallas, Georgia and active in the NPI registry since November 2015. The organization lists Mary J East, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1831563261

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameEAST CLINIC LLC

Location Address539 HARDEE STDallas, GA 30132-4711

Mailing Address539 Hardee StDallas, GA 30132-4711 · (770) 505-0531

Phone(770) 505-0531

Fax(770) 485-0570

Organization SubpartNo

Authorized OfficialMary J EastOwner/physician · (770) 505-0531

Enumeration DateNovember 23, 2015

Last NPPES UpdateDecember 3, 20152 updates tracked since enumeration

✔ NPI 1831563261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 63187

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

539 HARDEE ST, Dallas, GA 30132

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Other Names 1

Doing Business AsThe East Clinic, Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The East 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 The East Clinic, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mary East, M.D.

Family Practice

NPI 1225091341

539 HARDEE ST
Dallas, GA 30132

(770) 505-0531

✔ PECOS✔ Accepts MedicareSame address

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 East Clinic LLC's NPI number?

The NPI number for East Clinic LLC is 1831563261. It was assigned to this organization in the NPPES registry on November 23, 2015. The provider is doing business as The East Clinic, LLC.

Where is East Clinic LLC located?

East Clinic LLC is located at 539 Hardee St, Dallas, GA 30132. The listed phone number is (770) 505-0531.

What is East Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is East Clinic LLC enrolled in Medicare?

Yes. East Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through East Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to East 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.

What insurance does East Clinic LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list East Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for East Clinic LLC was last updated on December 3, 2015. 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.