Individual provider Active NPI

Terrance Alfonso Bratton, D.D.S

  • Oral and Maxillofacial Surgery (Dentist)
  • Lithonia, GA
National Provider Identifier
1205993722
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS7944 Issued in TN
Practice address
8052 Mall Pkwy Ste 205
Lithonia, GA 30038
Phone
(770) 484-0135
Fax
(615) 327-0730
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS7944 TN Primary

Addresses

Primary practice location

8052 Mall Pkwy Ste 205
Lithonia, GA 30038

Mailing address

8052 Mall Pkwy Ste 205
Lithonia, GA 30038-2649
Phone (770) 484-0135

Other practice location 1

1916 Patterson St
Suite 710
Nashville, TN 37203-2120
Phone (615) 327-9944

Other practice location 2

1916 Patterson St
Suite 710
Nashville, TN 37203-2120
Phone (615) 327-9944

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160713001817 GA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8628058799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS7944TNMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Dreamteam Oral Surgery and Orthodontic Specialty Group Oral and Maxillofacial Surgery 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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1205993722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8052 MALL PKWY STE 205",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300382649",
            "telephone_number": "770-484-0135",
            "fax_number": "615-327-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8052 MALL PKWY STE 205",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "30038",
            "telephone_number": "770-484-0135",
            "fax_number": "615-327-0730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1916 Patterson St",
            "address_2": "SUITE 710",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372032120",
            "country_code": "US",
            "telephone_number": "615-327-9944",
            "fax_number": "615-327-0730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1916 Patterson St",
            "address_2": "SUITE 710",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372032120",
            "country_code": "US",
            "telephone_number": "615-327-9944",
            "fax_number": "615-327-0730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRATTON",
        "first_name": "TERRANCE",
        "middle_name": "ALFONSO",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "DS7944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

Verify at the official NPI Registry.