Provider Type Icon

DUBLIN MULTISPECIALTY LLC NPI 1407923089


NPI Information

NPI: 1407923089
Provider Name: DUBLIN MULTISPECIALTY LLC

Former Legal Business Name: PULMONARY & CRITICAL CARE OF GEORGIA, LLC

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 11D2154532

Address:
100 MEDICAL DR
SUITE 100 & 200
DUBLIN, GA
ZIP 31021
Phone: (478) 274-8886
Get Directions

DUBLIN MULTISPECIALTY LLC is a specialist in Dublin, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DUBLIN MULTISPECIALTY LLC NPI is 1407923089. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Pulmonary & Critical Care Of Georgia, Llc.

The provider's business location address is:

100 MEDICAL DR
SUITE 100 & 200
DUBLIN, GA
ZIP 31021
Phone: (478) 274-8886
Fax: (478) 274-8887

The provider's authorized official is Mandi Singletary .
The authorized official title is Practice Manager and has the following contact phone number (478) 274-8886.

The CLIA number assigned to this NPI record is 11D2154532 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 4/17/2017.


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 License Number License State Primary
1207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryNo
2207X00000XOrthopaedic SurgeryNo
32086S0120XSurgeryPediatric SurgeryNo
4207XX0005XOrthopaedic SurgerySports MedicineNo
5174400000XSpecialistYes

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
1GRP8041MEDICARE PINGEORGIA

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.