Individual provider Active NPI

Aaron Stoker, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Lagrange, GA
National Provider Identifier
1194241505
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
10404795-9926 Issued in UT
Practice address
1587 Vernon Rd
Lagrange, GA 30240-4146
Phone
(706) 884-2655
NPI assigned
Aug 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 10404795-9926 UT Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 7499 LA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN123864 GA

Addresses

Primary practice location

1587 Vernon Rd
Lagrange, GA 30240-4146

Mailing address

6226 Seminary Rd
Columbus, GA 31904-2933
Phone (256) 604-6730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260206001734 GA Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 6901385269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
Univ of Nevada, Las Vegas School of Dental Med, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

121 Marble Mill Rd NW
Suite 203
Marietta, GA 30060-7959

6226 Tracie Dr
Columbus, GA 31904

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7499LAMDProfessional Counselor
DN123864GAMDOral and Maxillofacial Surgery (Dentist)
10404795-9926UTMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Oral & Facial Surgery LLC Oral and Maxillofacial Surgery CurrentSince Dec 18, 2025 Accepting new patients
West Ga Oral Surgery Associates, P.C. PastSince Mar 1, 2012 Accepting new patients

Locations

1000 Johnson Ferry Rd
Bldg H
Marietta, GA 30068
Phone (770) 973-4344

1825 Highway 34 E
Ste 1700
Newnan, GA 30265
Phone (470) 400-2637

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.

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1194241505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6226 SEMINARY RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319042933",
            "telephone_number": "256-604-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1587 VERNON RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404146",
            "telephone_number": "706-884-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKER",
        "first_name": "AARON",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-17",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "UT",
            "license": "10404795-9926",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "LA",
            "license": "7499",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "DN123864",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

Verify at the official NPI Registry.