Active NPI
Melissa Garrett Hill, D.M.D.
- Dentist
- Union City, GA
National Provider Identifier
1235202896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 011415
- Practice address
- 4550 Jonesboro Rd
Suite a-1
Union City, GA 30291-2050 - Phone
- (770) 306-2266
- Fax
- (770) 306-9111
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 011415 | GA | Primary |
Addresses
Primary practice location
4550 Jonesboro Rd
Suite a-1
Union City, GA 30291-2050
Mailing address
4550 Jonesboro Rd
Suite a-1
Union City, GA 30291-2050
Phone (770) 306-2266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00678015C | Medicaid | GA |
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 |
|---|---|---|---|
| 011415 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Fulton Dental Care, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Union City, GA
- NPI 1174786503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235202896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4550 JONESBORO RD",
"address_2": "SUITE A-1",
"city": "UNION CITY",
"state": "GA",
"postal_code": "302912050",
"telephone_number": "770-306-2266",
"fax_number": "770-306-9111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 JONESBORO RD",
"address_2": "SUITE A-1",
"city": "UNION CITY",
"state": "GA",
"postal_code": "302912050",
"telephone_number": "770-306-2266",
"fax_number": "770-306-9111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "MELISSA",
"middle_name": "GARRETT",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "011415",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00678015C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Union City, GA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.