Organization Active NPI

Jamesbmoncrief,Ddspc

  • Periodontics
  • Athens, GA
National Provider Identifier
1184795627
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
7455 Issued in GA
Legal business name
JAMESBMONCRIEF,DDSPC
Practice address
700 Oglethorpe Ave
Athens, GA 30606-2221
Phone
(706) 549-5604
Fax
(706) 549-6876
NPI assigned
Nov 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James Burton Moncrief, DDS
Title
President
Phone
(706) 549-5604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 7455 GA Primary

Addresses

Primary practice location

700 Oglethorpe Ave
Athens, GA 30606-2221

Mailing address

700 Oglethorpe Ave
Athens, GA 30606-2221
Phone (706) 549-5604

National Provider Directory

National Provider Directory

Locations

700 Oglethorpe Ave
Athens, GA 30606
Phone (706) 227-4075

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184795627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 OGLETHORPE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062221",
            "telephone_number": "706-549-5604",
            "fax_number": "706-549-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 OGLETHORPE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062221",
            "telephone_number": "706-549-5604",
            "fax_number": "706-549-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMESBMONCRIEF,DDSPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONCRIEF",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BURTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-549-5604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "7455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.