Active NPI
Jody Lee Granier, DDS
- Dentist
- Conyers, GA
National Provider Identifier
1194703215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN012308
- Practice address
- 1816 Lakefield CT
Conyers, GA 30013 - Phone
- (770) 860-8760
- Fax
- (678) 413-8144
- NPI assigned
- Jan 9, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN012308 | GA | Primary |
Addresses
Primary practice location
1816 Lakefield CT
Conyers, GA 30013
Mailing address
175 Tabor Forest Dr
Oxford, GA 30054
Phone (770) 787-9708
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN012308 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smile Dental Group of Conyers PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Conyers, GA
- NPI 1235117375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1194703215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 TABOR FOREST DR",
"city": "OXFORD",
"state": "GA",
"postal_code": "30054",
"telephone_number": "770-787-9708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1816 LAKEFIELD CT",
"city": "CONYERS",
"state": "GA",
"postal_code": "30013",
"telephone_number": "770-860-8760",
"fax_number": "678-413-8144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANIER",
"first_name": "JODY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN012308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.