Individual provider Active NPI

Griff M Lindsey, DMD

  • General Practice Dentistry
  • Douglas, GA
National Provider Identifier
1215144134
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN012561 Issued in GA
Practice address
1150 Ward St W
Magnolia Place B2
Douglas, GA 31533-1902
Phone
(912) 384-7400
Fax
(912) 384-7414
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN012561 GA Primary

Addresses

Primary practice location

1150 Ward St W
Magnolia Place B2
Douglas, GA 31533-1902

Mailing address

1150 Ward St W
Magnolia Place B2
Douglas, GA 31533-1902
Phone (912) 384-7400

Other identifiers 1

IdentifierTypeStateIssuer
00957888AMedicaidGA

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
I20150615002048 GA Order and Referring Only - DentistPractitioner - Dentist 0345551578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN012561GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lindsey, D.M.D., & Crawford, D.M.D., LLC General Practice 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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215144134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 WARD ST W",
            "address_2": "MAGNOLIA PLACE B2",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315331902",
            "telephone_number": "912-384-7400",
            "fax_number": "912-384-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 WARD ST W",
            "address_2": "MAGNOLIA PLACE B2",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315331902",
            "telephone_number": "912-384-7400",
            "fax_number": "912-384-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "GRIFF",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00957888A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglas, GA

Sources for this page

Verify at the official NPI Registry.