James Scott Summers, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11243 Issued in GA

Practice address

2300 N. Slater St
Valdosta, GA 31602-2565

Phone

(229) 333-0000

Fax

(229) 241-9512

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235158809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N. SLATER ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022565",
            "telephone_number": "229-333-0000",
            "fax_number": "229-241-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N. SLATER ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022565",
            "telephone_number": "229-333-0000",
            "fax_number": "229-241-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "JAMES",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "11243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Faye Studstill, RN
• Jennifer M Stump, MED. CCC-SLP
• Jonathan Alex Sule Sr., M.D.
• Judit Turoczi Sule, M.D.
• Todd Sumler, FNP
• Tamika Summers
• Ginger Sunbom
• Surgical Associates of Valdosta, P.C.
• Sutherland Physical Therapy, Inc.
• Eric G. Sutherland, PT, COMT

• General Practice Dentistry in Valdosta, GA
• Providers in Valdosta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.