Active NPI
James Nathaniel Raley, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Duluth, GA
National Provider Identifier
1245691369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN015183
- Practice address
- 3415 Duluth Highway 120
Duluth, GA 30096-3354 - Phone
- (770) 623-8520
- NPI assigned
- Mar 16, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN015183 | GA | Primary |
Addresses
Primary practice location
3415 Duluth Highway 120
Duluth, GA 30096-3354
Mailing address
3415 Duluth Highway 120
Duluth, GA 30096-3354
Other practice location 1
1430 John Wesley Gilbert Dr
Augusta, GA 30912-0001
Phone (706) 721-2371
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 |
|---|---|---|---|
| DN015183 | GA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ga Specialty Dental Services II, PC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
| Ga Specialty Dental Services II, PC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
Locations
3415 Duluth Highway 120
Duluth, GA 30096
Phone (770) 476-2400
3415 Duluth Highway 120
Ste 2
Duluth, GA 30096
Phone (770) 623-8520
Organizations & group practices 2
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Duluth, GA
- NPI 1154080059
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Duluth, GA
- NPI 1487410650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563494400000",
"number": "1245691369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3415 DULUTH HIGHWAY 120",
"city": "DULUTH",
"state": "GA",
"postal_code": "300963354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 DULUTH HIGHWAY 120",
"city": "DULUTH",
"state": "GA",
"postal_code": "300963354",
"telephone_number": "770-623-8520"
}
],
"practiceLocations": [
{
"address_1": "1430 John Wesley Gilbert Dr",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309120001",
"country_code": "US",
"telephone_number": "706-721-2371",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RALEY",
"first_name": "JAMES",
"middle_name": "NATHANIEL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-16",
"last_updated": "2019-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "GA",
"license": "DN015183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.