Wiley Lipscomb Purcell, D.M.D

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN015381 Issued in GA

Practice address

3636 Wheeler Rd
Augusta, GA 30909-6626

Phone

(706) 869-9117

NPI assigned

Jun 2, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Emmanuel C Ngoh DMD PC

  • Endodontics
  • Augusta, GA
  • NPI 1154629855
  NPD

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1235587908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 WHEELER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096626",
            "telephone_number": "706-869-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 WHEELER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096626",
            "telephone_number": "706-869-9117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Freedom Way # 233U",
            "address_2": "One Freedom Way (233U)",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309046258",
            "country_code": "US",
            "telephone_number": "706-733-0188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "127 Telfair St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309012590",
            "country_code": "US",
            "telephone_number": "706-396-1482",
            "fax_number": "706-849-4195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURCELL",
        "first_name": "WILEY",
        "middle_name": "LIPSCOMB",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-02",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015381",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": "DN015381",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "GA",
            "license": "DN015381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Salvatore Pugliese, M.D.
• Subhash S Pujara, MD
• Sri Varsha Pulijal, MD
• Pulmonary Allergy & Sleep Center of Augusta, LLC
• George Andrew Puneky, MD
• Anil Kumar Puri, M.D.
• Om Purohit, MD
• Purpose Place, LLC
• Harika Puttagunta, MD
• Preston J Pye, DNP, CRNA

• Endodontics in Augusta, GA
• Providers in Augusta, GA by specialty
• Endodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.