Jackson Kelley Griffeth, DMD, MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

12437 Issued in NC

Practice address

7117 Main St
Woodstock, GA 30188-2400

Phone

(770) 765-0555

NPI assigned

Aug 25, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Cherokee Family Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Woodstock, GA
  • NPI 1710688445
  NPD Authorized official

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1144997438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 JOHNSTON FARM LN",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301882646",
            "telephone_number": "678-617-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7117 MAIN ST",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301882400",
            "telephone_number": "770-765-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFETH",
        "first_name": "JACKSON",
        "middle_name": "KELLEY",
        "name_prefix": "Dr.",
        "credential": "DMD, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-25",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "12437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brody Mitchell Green, LPTA
• Lana Danielle Greene, MA, LPC, NCC
• Haley Greenlee
• Gregg Chiropractic Center, Inc.
• Brian Glen Gregg, DC
• Amanda Rose Griffin
• Erin Johnson Grigsby, P.T.
• Grisham Associates LTD
• Gabriel Leonard Grisham, DMD
• Milton Grisham, PHD

• Orthodontics and Dentofacial Orthopedics Dentistry in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.