Russell G Eyman, D.D.S., M.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

7417 Issued in GA

Practice address

225 Carl Vinson Pkwy
Warner Robins, GA 31088-5831

Phone

(478) 923-0232

Fax

(478) 929-3382

NPI assigned

Jan 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Georgia Periodontics & Dental Implants LLC

  • Periodontics
  • Warner Robins, GA
  • NPI 1184991887
  NPD (past)
• Central Georgia Periodontics and Dental Implants

  • Dentist
  • Warner Robins, GA
  • NPI 1780812610
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043369333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CARL VINSON PKWY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885831",
            "telephone_number": "478-923-0232",
            "fax_number": "478-929-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CARL VINSON PKWY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885831",
            "telephone_number": "478-923-0232",
            "fax_number": "478-929-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYMAN",
        "first_name": "RUSSELL",
        "middle_name": "G",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "7417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia D Evans
• Susan Elizabeth Evans, FNP-C
• Veronica Vaughn Evans
• Excelsior Medical Billing & Services LLC
• Eye Care Associates of Middle Ga, LLC
• Faith Child Caring Centers, CHMC
• Faith N Favor Healthcare
• Families First, Inc.
• Family Counseling Center
• Morgan Olivia Fanning, CCC-SLP

• Periodontics in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Periodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.