NPIMap

Organization Active NPI

Jeffery P. Barnett, D.M.D., P.C.

  • Dentist
  • Moultrie, GA
National Provider Identifier
1164644019
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN013100 Issued in GA
Legal business name
JEFFERY P. BARNETT, D.M.D., P.C.
Practice address
5 Sweet Bay CT
Suite a
Moultrie, GA 31768-6784
Phone
(229) 985-3367
Fax
(229) 890-8129
NPI assigned
May 2, 2007
Last updated
Mar 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Authorized official

Name
Jeffery Barnett, D.M.D.NPI 1639391576
Title
President
Phone
(229) 985-3367

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN013100 GA Primary

Addresses

Primary practice location

5 Sweet Bay CT
Suite a
Moultrie, GA 31768-6784

Mailing address

5 Sweet Bay CT
Suite a
Moultrie, GA 31768-6784

National Provider Directory

National Provider Directory

Locations

5 Sweet Bay Ct
#A
Moultrie, GA 31768
Phone (229) 985-3367

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1164644019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SWEET BAY CT",
            "address_2": "SUITE A",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SWEET BAY CT",
            "address_2": "SUITE A",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686784",
            "telephone_number": "229-985-3367",
            "fax_number": "229-890-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERY P. BARNETT, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-985-3367",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moultrie, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.