Chaitali H Minama

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN123999 Issued in GA

Practice address

341 Furniture Dr
Cornelia, GA 30531-5425

Phone

(706) 903-2335

NPI assigned

Jul 6, 2023

Last updated

Oct 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1053099507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 FURNITURE DR",
            "city": "CORNELIA",
            "state": "GA",
            "postal_code": "305315425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 FURNITURE DR",
            "city": "CORNELIA",
            "state": "GA",
            "postal_code": "305315425",
            "telephone_number": "706-903-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINAMA",
        "first_name": "CHAITALI",
        "middle_name": "H",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN123999",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "8017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie McClain, FNP-C
• Jessica Hardeman McDonald, PHARM.D.
• Julie McKee
• Zana McNeil, OTR/L
• Patrick Kendall McShane, DMD
• Courtney Alan Mote, B.S., D.C.
• Rashmika Reddy Nallabolu
• National Vision, Inc.
• Stephanie Nicholson
• William Loren Noggle, D.M.D

• General Practice Dentistry in Cornelia, GA
• Providers in Cornelia, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.