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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | RR MEDICARE | P01332068 | 01 |
GA | WELLCARE | 1072595 | 01 |
GA | 512581223F | 05 | |
GA | AMERIGROUP | 01934817 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1505 Professional Ct, Dalton, GA 307202500 | 7062756121 |
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 |
Street Address |
1107 MEMORIAL DR STE 102 |
City | DALTON |
State | GA |
Zip Code | 30720-8662 |
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 |
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 |
Find all providers in zip 30720 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
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] |
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 |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DR. JUAN CARLOS GONZALEZ.
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.