DR. JUAN CARLOS GONZALEZ


Address: 1107 Memorial Dr Ste 102, Dalton, GA 30720-8662
Phone: 7062756121

DR. JUAN CARLOS GONZALEZ (NPI# 1891891560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891891560
Entity Type Individual
Full Name DR. JUAN CARLOS GONZALEZ
Credential MD
Practice Address 1107 Memorial Dr Ste 102
Dalton
GA 30720-8662
Practice Telephone 7062756121
Practice Fax Number 7062750521
Mailing Telephone 7062756121
Mailing Fax Number 7062750521
Enumeration Date 2006-09-16
Last Update Date 2020-06-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 174400000X Specialist 068737 GA Other Service Providers
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
068737 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA RR MEDICARE P01332068 01
GA WELLCARE 1072595 01
GA 512581223F 05
GA AMERIGROUP 01934817 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1505 Professional Ct, Dalton, GA 307202500 7062756121

Other Providers JUAN GONZALEZ

NPI Name Taxonomy Address Enumeration
1881255768 Juan Manuel Gonzalez Jr. Dentist 1919 Taylor St, Houston, TX 77007-3973 2019-06-22
1295190551 Juan Marcelo Gonzalez Jr. Home Health 1413 David Ray Way, El Paso, TX 79936-7025 2015-12-30
1689062697 Juan Carlos Gonzalez Registered Nurse 2385 Lawry Dr, Sparks, NV 89436-5004 2014-12-27
1851727911 Juan Carlos Gonzalez Student in an Organized Health Care Education/Training Program 27602 Sw 134 Ct, Homestead, FL 33032 2013-09-20
1306100441 Juan Carlos Gonzalez Dentist 2734 Nw 22nd Ave, Miami, FL 33142-8433 2012-07-03
1255650206 Juan Ulloa Gonzalez Counselor 13455 Placid Dr, Whittier, CA 90605-4257 2010-05-28
1730388356 Juan Francisco Gonzalez Counselor 705 Baltic Ave, Edinburg, TX 78539-7360 2007-07-13
1942426671 Juan Carlos Gonzalez Dentist Hc 74 Box 5284, Naranjito, PR 00719-7465 2007-04-18
1740315100 Juan Gonzalez Pharmacy Technician Ave. Roosvelt # 400 Suite, Farmacia Clinica Las Americas, San Juan, PR 00918 2007-02-23
1437162724 Juan Rafael Gonzalez Dentist 502 Baldorioty St, Isabel II, Vieques, PR 00765 2006-08-15

Office Location

Street Address 1107 MEMORIAL DR STE 102
City DALTON
State GA
Zip Code 30720-8662

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164931622 Haley Mertz Physician Assistant 1107 Memorial Dr Ste 102, Dalton, GA 30720-8662 2017-09-27
1053727396 Ashish Mohammad Kabir Psychiatry & Neurology 1107 Memorial Dr Ste 102, Dalton, GA 30720-8662 2014-07-08
1689088296 William Zachariah Poarch Nurse Practitioner 1107 Memorial Dr Ste 102, Dalton, GA 30720-8662 2014-06-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528688421 Nighat Purnima Kabir Student in an Organized Health Care Education/Training Program Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 2020-04-21
1720620727 Elizabeth Nicole Gregory Behavioral Analyst 1201 Burleyson Rd., Dalton, GA 30720 2019-10-10
1972161768 Andrea Nicole Henry Speech-Language Pathologist 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 2019-06-05
1275056905 Cynthia L Wood Speech-Language Pathologist 1011 Professional Blvd., Dalton, GA 30720 2017-07-25
1073069225 Alyssa Sellers Garner Nurse Practitioner 1436 Chattanooga Avenue, Dalton, GA 30720 2016-08-28
1588039077 Katie Walker Social Worker 900 Shugart Road, Dalton, GA 30720 2015-12-09
1215310800 Wal-mart Stores East Lp Durable Medical Equipment & Medical Supplies 98 West Walnut Ave, Dalton, GA 30720 2015-07-01
1275969081 Stacy Kay Whitehead Nurse Practitioner 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 2013-09-25
1821439985 Chantal Aneka Raheeda Lewis Internal Medicine 1109 Burleyson Rd Ste 103, Dalton, GA 30720 2013-07-17
1174960678 Homestead Hospice of Northwest Georgia, LLC Hospice Care, Community Based 1601 Hickory Street, Dalton, GA 30720 2013-05-24
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508179342 Neurology Care In Berkshires, PC Psychiatry & Neurology 27 Pinecrest Dr, Dalton, MA 01226-1759 2010-07-21
1124331681 Neurology Care In The Berkshires PC Psychiatry & Neurology 27 Pinecrest Dr, Dalton, MA 01226-1759 2010-07-26
1811188006 Atrac Aryan Kay Psychiatry & Neurology 1200 Memorial Dr, Dalton, GA 30720-2529 2007-08-05
1932135183 North Georgia Neurological Institute Psychiatry & Neurology 1505 Professional Ct, Dalton, GA 30720-2500 2006-06-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013544899 Southern Neurology, Physical Medicine & Rehabilitation, LLC Psychiatry & Neurology 4913 Lanes Pond Rd, Valdosta, GA 31601-1537 2020-03-24
1912474537 Atlanta Neuromonitoring, LLC Psychiatry & Neurology 922 Highway 81 East # 242, Mcdonough, GA 30252 2018-11-01
1366925497 David Wayne Richardson Psychiatry & Neurology 400 Rock Springs Road Ne, Atlanta, GA 30324 2018-09-14
1407349103 Ahmed Babiker Psychiatry & Neurology 1130 15th St, Augusta, GA 30912-0004 2018-06-07
1811342561 The Migraine and Spine Clinic of Valdosta LLC Psychiatry & Neurology 3315 N Valdosta Rd, Suite A, Valdosta, GA 31602-1107 2016-05-02
1164882635 Lafayette Neurology, PC Psychiatry & Neurology 1075 Lafayette Parkway, Suite 210, Lagrange, GA 30241-3584 2016-02-26
1144601048 Catherine Lockhart Psychiatry & Neurology 2470 Daniels Bridge Rd Ste 261, Athens, GA 30606-6188 2015-06-16
1609266634 Bruce Gillett Psychiatry & Neurology 948 Greymont Cir Nw, Marietta, GA 30064-1328 2015-01-29
1245620244 Darla R Totten Md Psychiatry & Neurology 3780 Northside Dr, 197, Macon, GA 31210-2431 2015-01-28
1033516356 Neuro Proread Solutions Psychiatry & Neurology 2378 Riderwood Court, Marietta, GA 30062-4689 2014-12-02
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Competitor

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City DALTON
Zip Code 30720

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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