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Active NPI 1891286928 Individual Practitioner Male Practitioner

Joseph Vincent Bautista Doromal , NP

Nurse Practitioner • Canton, GA

Professional Overview & Biography Verified Profile Summary

Joseph Vincent Doromal, NP is a registered healthcare professional specializing in Nurse Practitioner in Canton, GA. Practice services are available at 111 MOUNTAIN BROOK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

111 Mountain Brook Dr

Canton, GA 301159045

Telephone 6788809654
Associated Practice Facility / Clinic
🏢 Bethesda Community Clinic Inc Facility NPI 1215621701

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Canton, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
29 Specialists

Practicing in Canton, GA (3149 Statewide)

Telehealth Adoption Rate
13.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA RN240795

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Rita Nagawa

Physician Assistant

NPI 1487255113
Gina Papa

Nurse Practitioner - Family

NPI 1528938008
NPI 1578104170

Nurse Practitioner

Kristen Van Waters , FNP-BC

Nurse Practitioner - Family

NPI 1629961776

Family Nurse Practitioner (Board Certified)

Dr. Dolly Penn , MD, MSCR

Preventive Medicine - Public Health & General Preventive Medicine

NPI 1669609442

Doctor of Medicine (M.D.), MSCR

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 24, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 24, 2018

Registered at 111 MOUNTAIN BROOK DR, CANTON, GA 301159045 (Tel: 6788809654)

📍
Updated Business Mailing Address May 24, 2018

Registered at 111 MOUNTAIN BROOK DR, CANTON, GA 301159045 (Tel: 6788809654)

👤
Provider Name / Credentials Updated May 24, 2018

Recorded as JOSEPH VINCENT DOROMAL, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2018

Nurse Practitioner (License #RN240795 in GA)

🟢
Initial NPI Registration & Enumeration May 24, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891286928
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2018
Last Update: May 24, 2018
Sole Proprietor: No

Mailing Address

111 Mountain Brook Dr

Canton, GA 301159045

Phone: 6788809654

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.