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NPI 1104185552
● Active Type 2 · Organization
Mark P. Elam, M.d., P.c.
Skilled Nursing Facility · Dalton, GA · NPI 1104185552
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Enumerated 2012 · 14 years on NPI
Mark P. Elam, M.d., P.c. is 1 of 794 skilled nursing facility organizations in Georgia.
NPI age
14 years
Enumerated 2012-05-04
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Stout
Administrator
Last NPPES update
2012-05-04
Source: monthly bulk 2026-05
How this organization compares
Across 794 active skilled nursing facility providers in Georgia.
NPI age
14 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2012 → 2026
2012-05 Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
1115 Professional Blvd
Dalton, GA 307202628
📞 7062264642
Mailing address
1575 Chattanooga Ave, Suite 2
Dalton, GA 307202671
📞 7068762186
Authorized official
Dennis Stout
Administrator
📞 7062264642
Individual providers at this organization
6 individual providers on file at this primary practice address.
Specialties
Skilled Nursing Facility
Primary
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness...
GA license #036417 taxonomy 314000000X
Identifiers
Type Value Notes
05 (GA)
000546532D
Practice context
Multi-provider organization.
6 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.