C Heather Colson DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN012998 Issued in GA

Legal business name

C HEATHER COLSON DMD PC

Practice address

3000 N Patterson St
Valdosta, GA 31602-1711

Phone

(229) 242-2449

Fax

(229) 242-2699

NPI assigned

Oct 25, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Catherine Heather Colson Hardy, DMD

Title

Dentist/Owner

Phone

(229) 242-2449

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1124018759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3816",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316043816",
            "telephone_number": "229-242-2449",
            "fax_number": "229-242-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N PATTERSON ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021711",
            "telephone_number": "229-242-2449",
            "fax_number": "229-242-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C HEATHER COLSON DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "COLSON HARDY",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "HEATHER",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "229-242-2449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "853466232A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNTD CONCORDIA DENTAL INS",
            "identifier": "1704152",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon F Burton, LAT, ATC
• Vickie Consuella71 Bush
• James Bradford Bynum, D.M.D.
• Delilah Byron, IDMT
• C Curt Starling MDPC
• Ikea Sharnay Calhoun
• Latosha Y Callaway
• Bennie Elgin Calloway III, D.MIN, DRE, LCPC
• Madison Nora Cameron, PTA
• Kamela Manantan Camon, M.D.

• General Practice Dentistry in Valdosta, GA
• Providers in Valdosta, 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 May 7, 2012; 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.