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

Erick Dominguez, FNP

Individual provider Family Nurse Practitioner · NPI 1114816113

Erick Dominguez, FNP is a Nurse Practitioner in Dalton, Georgia. Qualified in 2025, 1 year ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2025
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1743 Rainbow Cir NE
Dalton, GA 30721-7060
Phone: (706) 280-8636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN279732 (GA)

Record details

NPI number1114816113
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 2, 2025
Last updated in NPPESJuly 2, 2025
Certification dateJuly 1, 2025
Mailing address1743 Rainbow Cir Ne, Dalton, GA 30721-7060

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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