John A Gholson III, DENTIST

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS 1492 Issued in TN

Practice address

130 Donelson Pike
Nashville, TN 37214-2926

Phone

(615) 889-7111

Fax

(615) 889-6717

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clayton Dental Group

  • Dentist
  • Nashville, TN
  • NPI 1245886290
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1023029865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 DONELSON PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372142926",
            "telephone_number": "615-889-7111",
            "fax_number": "615-889-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 DONELSON PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372142926",
            "telephone_number": "615-889-7111",
            "fax_number": "615-889-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOLSON",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DENTIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS 1492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2007322",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "0543098",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamer George Ghanayem, MD
• Verena Nader Ghebranious, MD
• Courtney Ann Ghiassi, M.D.
• Joyce Nader Ghobrial, PA-C
• Marina Ghobrial, PA-C
• Danielle Gholston
• Alaa Ghoneim, MD
• Samantha Ghoumari, RN
• Shadi Ghourchian, MD
• Angela Marie Gialanella, M. ED., BCBA, LBA

• General Practice Dentistry in Nashville, TN
• Providers in Nashville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.