John Clay Hastings, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9885 Issued in NC

Practice address

USA Dental Activity - Fort Moore
7061 Lincoln Avenue, Building 972
Fort Moore, GA 31905

Phone

(706) 544-3103

NPI assigned

Sep 9, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1144621178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "USA DENTAL ACTIVITY MCDS NA B",
            "address_2": "2817 REILLY RD",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283107302",
            "telephone_number": "910-543-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USA DENTAL ACTIVITY - FORT MOORE",
            "address_2": "7061 LINCOLN AVENUE, BUILDING 972",
            "city": "FORT MOORE",
            "state": "GA",
            "postal_code": "31905",
            "telephone_number": "706-544-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASTINGS",
        "first_name": "JOHN",
        "middle_name": "CLAY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-09",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "APPLIED FOR",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brigitte Ginou Hampton, CNP
• Angie Renee Haque, DO
• Christle L. Harris, LPC, MAC, CACII
• Georgia Megan Harrison, MSW, LCSW
• Karnisha Harvey
• Tamika Lashun Helton, ACNP
• Eric Henderson
• Michelle R. Henriques, PH.D., LCSW, LCDC
• Brendon Christopher Henry, MD
• Kassandra Hill, LICSW

• General Practice Dentistry in Fort Moore, GA
• Providers in Fort Moore, 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 Jul 19, 2023; 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.