Individual provider Active NPI

Joey Scott Newborn, DMD

  • General Practice Dentistry
  • Calhoun, GA
National Provider Identifier
1265649941
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN011607 Issued in GA
Practice address
805 Red Bud Rd NE
Calhoun, GA 30701-1968
Phone
(706) 629-7784
Fax
(706) 629-1511
NPI assigned
May 16, 2007
Sex
Male
Sole proprietor
Yes

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 DN011607 GA Primary

Addresses

Primary practice location

805 Red Bud Rd NE
Calhoun, GA 30701-1968

Mailing address

805 Red Bud Rd NE
Calhoun, GA 30701-1968
Phone (706) 629-7784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240222000598 ME Practitioner - Dentist 2769763960
I20251022002570 TX Practitioner - Dentist 2769763960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1623 Hospital Loop
Owyhee, NV 89832-1200

210 N Broadway Ave
Miller, SD 57362-1414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shoshone-Paiute Tribes CurrentSince Sep 1, 2025 Accepting new patients
Shoshone Paiute Tribes CurrentSince Sep 1, 2025 Accepting new patients
Katahdin Valley Health Center Current Accepting new patients

Locations

59 Bangor St
Houlton, ME 04730
Phone (207) 532-7161

1623 Hospital Loop
Owyhee, NV 89832
Phone (775) 757-2403

Organizations & group practices 3

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265649941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 RED BUD RD NE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307011968",
            "telephone_number": "706-629-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 RED BUD RD NE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307011968",
            "telephone_number": "706-629-7784",
            "fax_number": "706-629-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBORN",
        "first_name": "JOEY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calhoun, GA

Sources for this page

Verify at the official NPI Registry.