NPIMap

Organization Active NPI

Magnolia Lane Ga Partners LLC

  • General Practice Dentistry
  • Peachtree City, GA
National Provider Identifier
1194542928
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MAGNOLIA LANE GA PARTNERS LLC
Practice address
1235 Robinson Rd Ste H
Peachtree City, GA 30269-3832
Phone
(770) 487-1880
Fax
(770) 487-1851
NPI assigned
Sep 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
Dr. Jacqueline Delash, DMD, MPH, MBA, D. ABNPI 1275916728
Title
Owner
Phone
(770) 336-7074

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

1235 Robinson Rd Ste H
Peachtree City, GA 30269-3832

Mailing address

1235 Robinson Rd Ste H
Peachtree City, GA 30269-3832
Phone (770) 487-1880

Other names 1

  • Delash Sleep Solutions Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250513000754 GA DME Supplier - Oral Surgery - Dentist 2062930167 Practice locations: Peachtree City, GA

National Provider Directory

National Provider Directory

Locations

101 Old Sandy Creek Rd
#B
Fayetteville, GA 30214
Phone (678) 834-7325

1235 Robinson Rd
Ste H
Peachtree City, GA 30269
Phone (770) 487-1880

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1194542928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 ROBINSON RD STE H",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693832",
            "telephone_number": "770-487-1880",
            "fax_number": "770-487-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 ROBINSON RD STE H",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693832",
            "telephone_number": "770-487-1880",
            "fax_number": "770-487-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA LANE GA PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "DELASH",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-336-7074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MPH, MBA, D. AB"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delash Sleep Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Delash Sleep Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.