Gofs McDonough LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

GOFS MCDONOUGH LLC

Practice address

125 Westridge Industrial Blvd
Suite 303
McDonough, GA 30253-9098

Phone

(678) 304-6494

NPI assigned

Dec 29, 2016

Organization subpart

No

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

Authorized official

Name

Shahrokh Bagheri, DMD, MD

Title

Owner

Phone

(678) 905-9066

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hari Kiran Digumarthi, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Atlanta, GA
  • NPI 1821291816
  NPD (past)

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1114462140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 W OAK PKWY",
            "address_2": "SUITE 111",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WESTRIDGE INDUSTRIAL BLVD",
            "address_2": "SUITE 303",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302539098",
            "telephone_number": "678-304-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOFS MCDONOUGH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "BAGHERI",
        "authorized_official_first_name": "SHAHROKH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-905-9066",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adori Glover
• Benita Y Glover
• Christopher Jude Gobert
• God'S Promise Center, Inc.
• Rachel Michele Goff
• Debois Gooden
• Mallory Brooke Goodenow, M.S.ED. CCC-SLP
• Goodwill Medical Supply Inc
• Dara Nicole Goodwin
• Sabina Gabrielle Gordon, FNP-C

• Oral and Maxillofacial Surgery (Dentist) in McDonough, GA
• Providers in McDonough, GA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.