DYNAMIC 1 MEDICAL AND REHAB CLINIC – NPI #1861788986
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

DYNAMIC 1 MEDICAL AND REHAB CLINIC is a provider located in ATLANTA, GA. NPPES has assigned the NPI number 1861788986 to DYNAMIC 1 MEDICAL AND REHAB CLINIC on June 27, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 11 years ago on Oct 26, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DYNAMIC 1 MEDICAL AND REHAB CLINIC below.

NPI Profile for
DYNAMIC 1 MEDICAL AND REHAB CLINIC

NPI Number
1861788986
Enumeration Date

(about 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DYNAMIC 1 MEDICAL AND REHAB CLINIC
Primary location
2015 MARTIN LUTHER KING JR DRIVE SUITE B
ATLANTA, GA 30310
Phone: (678) 705-1733 Fax: (404) 254-0529
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DALE CAREY
CO OWNER
Phone: (678) 705-1733
Updated
Identifiers

Identifiers for DYNAMIC 1 MEDICAL AND REHAB CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDGA000299868J
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
261QM1300X
- Clinic/Center / Multi-Specialty
GA 026238

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.