Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Javier Obeso, MD

Individual provider Internal Medicine Physician · NPI 1902591159

Dr. Javier Obeso, MD is an Internal Medicine in Dalton, Georgia. Qualified in 2021, 5 years ago. Works from 2 locations. Licensed in Connecticut and Georgia.

Years since qualifying
5
Licensed in
CT, GA
In the registry since
2023
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1432 Broadrick Dr
Dalton, GA 30720
Phone: (706) 226-8990
Fax: (706) 529-5317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 80 Seymour St, Hartford, CT 06102-8000 — (860) 972-0549

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 83926 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 15059 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1902591159
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2023
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address1200 Memorial Drive, Dalton, GA 30720

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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