DILLARD ACADEMY NPI 1124459912

NPI Information

NPI: 1124459912
Provider Name: DILLARD ACADEMY
Classification: Local Education Agency (LEA) - 251300000X
Entity Type: Organization
Other Name: DILLARD FOUNDATION
Address: 8014 CUMMING HWY
SUITE 403302
CANTON, GA
ZIP 30115
Phone: (404) 806-0434

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NPI Details

DILLARD ACADEMY is a local education agency lea in Canton, GA. The provider is the term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. DILLARD ACADEMY NPI is 1124459912. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Dillard Foundation.

The provider's business location address is:

8014 CUMMING HWY
SUITE 403302
CANTON, GA
ZIP 30115-339
Phone: (404) 806-0434

The provider's authorized official is Jeff Baker .
The authorized official title is Consultant and has the following contact phone number (404) 806-0434.

The enumeration date for this NPI number is 12/5/2013 and was last updated on 12/5/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YM0800X	Counselor	Mental Health	No
2	251B00000X	Case Management		No
3	251S00000X	Community/Behavioral Health		No
4	251300000X	Local Education Agency (LEA)		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8600110	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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