Active NPI
Aaron Stoker, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Lagrange, GA
National Provider Identifier
1194241505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 10404795-9926
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Maxillofacial 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7499 | LA | MD | Professional Counselor |
| DN123864 | GA | MD | Oral and Maxillofacial Surgery (Dentist) |
| 10404795-9926 | UT | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Oral & Facial Surgery LLC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| West Ga Oral Surgery Associates, P.C. | Past | 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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Marietta, GA
- NPI 1992738165
-
- Oral and Maxillofacial Pathology Dentistry
- Lagrange, GA
- NPI 1942403795
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.