Individual provider Active NPI

Brian Lee Sellers, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Statesboro, GA
National Provider Identifier
1134511546
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN014969 Issued in GA
Practice address
1222 Brampton Ave
Statesboro, GA 30458-0849
Phone
(912) 764-5435
Fax
(912) 764-9789
NPI assigned
Feb 22, 2015
Last updated
Oct 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN014969 GA Primary

Addresses

Primary practice location

1222 Brampton Ave
Statesboro, GA 30458-0849

Mailing address

1222 Brampton Ave
Statesboro, GA 30458-0849
Phone (912) 764-5435

Other practice location 1

6 Medical Office Way
Swainsboro, GA 30401-3263
Phone (478) 419-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 3, 2023 through Nov 3, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN014969GAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
East Georgia Center for Oral & Facial Surgery LLC Oral and Maxillofacial Surgery CurrentSince May 26, 2024 Accepting new patients

Locations

1222 Brampton Ave
Statesboro, GA 30458
Phone (912) 665-8657

6 Medical Office Way
Swainsboro, GA 30401
Phone (478) 419-2100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1424563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792368000000",
    "number": "1134511546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 BRAMPTON AVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580849",
            "telephone_number": "912-764-5435",
            "fax_number": "912-764-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 BRAMPTON AVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580849",
            "telephone_number": "912-764-5435",
            "fax_number": "912-764-9789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Medical Office Way",
            "address_purpose": "LOCATION",
            "city": "Swainsboro",
            "state": "GA",
            "postal_code": "304013263",
            "country_code": "US",
            "telephone_number": "478-419-2100",
            "fax_number": "478-419-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELLERS",
        "first_name": "BRIAN",
        "middle_name": "LEE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-22",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "DN014969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.