MEDICARE: DOGWOOD BLUFF PERSONAL CARE HOME

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457630311
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOGWOOD BLUFF PERSONAL CARE HOME

Provider Business Mailing Address
First Line	:	266 PONY LAKE LN
Second Line	:
City	:	DAHLONEGA
State	:	GA
Zip	:	30533-6309
Country	:	US
Telephone Number	:	706-974-7704
Fax Number	:	770-536-0776

Provider Business Practice Location Address
First Line	:	266 PONY LAKE LN
Second Line	:
City	:	DAHLONEGA
State	:	GA
Zip	:	30533-6309
Country	:	US
Telephone Number	:	706-974-7704
Fax Number	:	770-536-0776

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. CAROLYN JOYCE BURGESS
Credential	:
Telephone Number	:	706-974-7704

Provider Enumeration Date	:	08/10/2011
Last Update Date	:	08/10/2011

Similar Medicare Providers

1942148044 — WOODYS LONGBRANCH PHARMACY INC
Practice Location Address:

130 LONG BRANCH RD
DAHLONEGA, GA
30533-7132

Practice Phone: 706-867-9493
Practice Fax: 706-867-9495

1649125857 — HYERIN CHUNG
Practice Location Address:

108 MOUNTAIN DR
DAHLONEGA, GA
30533-1615

Practice Phone: 678-541-3404
Practice Fax:

1700883246 — DURALL CAPITAL HOLDINGS, LLC
Practice Location Address:

227 MOUNTAIN DRIVE
DAHLONEGA, GA
30533

Practice Phone: 706-864-6136
Practice Fax: 706-864-1356

1770584864 — DR. JEFFREY WADE SCHERMERHORN MD
Practice Location Address:

104 ANSLEY DR
DAHLONEGA, GA
30533-1614

Practice Phone: 706-867-4116
Practice Fax: 706-867-4120

1285635383 — DR. MATTHEW DEAN SOCKWELL MD
Practice Location Address:

104 ANSLEY DR
DAHLONEGA, GA
30533-1614

Practice Phone: 706-867-4116
Practice Fax: 706-867-4120

1467454314 — MR. RAYMOND EUGENE POLK PA-C
Practice Location Address:

134 ANSLEY DR STE 400
DAHLONEGA, GA
30533-1642

Practice Phone: 706-864-1580
Practice Fax: 770-219-9561

Directions to “DOGWOOD BLUFF PERSONAL CARE HOME ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.