Active NPI
Golnaz Emami Naeini, DMD
- Dentist
- Evans, GA
National Provider Identifier
1144891748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN122405
- Practice address
- 4429 Washington Rd
Evans, GA 30809-6370 - Phone
- (706) 395-9031
- NPI assigned
- Jul 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN122405 | GA | Primary |
Addresses
Primary practice location
4429 Washington Rd
Evans, GA 30809-6370
Mailing address
533 Meldon Rd
Evans, GA 30809-7103
Phone (762) 215-0994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN122405 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Dental Professionals, PC | Past | Accepting new patients | |
| Emerald Dental, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Evans, GA
- NPI 1568377455
-
- General Practice Dentistry
- Evans, GA
- NPI 1679167290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1144891748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 MELDON RD",
"city": "EVANS",
"state": "GA",
"postal_code": "308097103",
"telephone_number": "762-215-0994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4429 WASHINGTON RD",
"city": "EVANS",
"state": "GA",
"postal_code": "308096370",
"telephone_number": "706-395-9031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMAMI NAEINI",
"first_name": "GOLNAZ",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-05",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN122405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evans, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.