IPC DALTON ASC LLC NPI 1619777653

NPI Information

  • NPI: 1619777653
  • Provider Name: IPC DALTON ASC LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 11D2322581
  • Address: 1502 DUG GAP RD
    DALTON, GA
    ZIP 30720
  • Phone: (706) 847-0826

Map and Directions

Get Directions

NPI Details

IPC DALTON ASC LLC is an ambulatory surgical clinic center in Dalton, GA. IPC DALTON ASC LLC NPI is 1619777653. The provider is registered as an organization entity type.

The provider's business location address is:

1502 DUG GAP RD
DALTON, GA
ZIP 30720-004
Phone: (706) 847-0826
Fax: (706) 529-9850

The provider's authorized official is Joshua Lidelle Hare .
The authorized official title is Medical Director and has the following contact phone number (706) 847-0826.

The CLIA number assigned to this NPI record is 11D2322581 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/18/2025 and was last updated on 3/18/2025.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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

NPI Synchronization or Removal

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.

Previous NPI
Next NPI