Atijah Collins, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN015448 Issued in GA

Practice address

1155 Concord Rd SE Ste 100
Smyrna, GA 30080-4255

Phone

(770) 435-9222

Fax

(770) 435-9260

NPI assigned

Apr 30, 2017

Last updated

Apr 24, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Practice roles

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.

• Smyrna Oral and Maxillofacial Surgery and Implantology Center, LLC

  dba Precision Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Smyrna, GA
  • NPI 1396064986
  NPD (past)
• Woodstock Dentistry, PC

  • General Practice Dentistry
  • Woodstock, GA
  • NPI 1578090056
  NPD (past)

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

{
    "created_epoch": "1493510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1144755976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 CONCORD RD SE STE 100",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804255",
            "telephone_number": "770-435-9222",
            "fax_number": "770-435-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 CONCORD RD SE STE 100",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804255",
            "telephone_number": "770-435-9222",
            "fax_number": "770-435-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "ATIJAH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-30",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015448",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "DN015448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie V Coleman, CCC-SLP
• Anthony Joseph Colina, D.C.
• Julian Colina, DPT, PT
• Kelly Collier, LCSW
• Carrie Collin, MSN,FNP
• Dena Renee Collins
• Emily Langlois Collins, PHARMD
• Falicia Collins, LPN
• Marissa Collins
• Niave Yehva Collins

• Oral and Maxillofacial Surgery (Dentist) in Smyrna, GA
• Providers in Smyrna, 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 Apr 24, 2024; 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.