Active NPI
Germaine Bawak Desir, DMD
- Dentist
- Griffin, GA
National Provider Identifier
1083928873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN014119
- Practice address
- 409 W Solomon Street
Griffin, GA 30223-3563 - Phone
- (678) 688-8700
- NPI assigned
- Aug 4, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN014119 | GA | MD | Dentist |
Interoperability endpoints
- germaine.desir.p1@direct.smcmed.nextgenshare.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN014119 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
409 W Solomon Street
Griffin, GA 30223-3563
Mailing address
2208 McMillan Point
Hampton, GA 30228-7678
Phone (706) 831-1453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 31, 2014.
{
"created_epoch": "1280880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419984000000",
"number": "1083928873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2208 MCMILLAN POINT",
"city": "HAMPTON",
"state": "GA",
"postal_code": "302287678",
"telephone_number": "706-831-1453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 W SOLOMON STREET",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302233563",
"telephone_number": "678-688-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAWAK DESIR",
"first_name": "GERMAINE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-04",
"last_updated": "2014-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN014119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Griffin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.