Individual provider Active NPI

Germaine Bawak Desir, DMD

  • Dentist
  • Griffin, GA
National Provider Identifier
1083928873
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN014119 Issued in GA
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

LicenseStateTypeSpecialty
DN014119GAMDDentist

Interoperability endpoints

  • Direct secure messaging: germaine.desir.p1@direct.smcmed.nextgenshare.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN014119 GA Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.