Jayanthi Chawan Fisher, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN010766 Issued in GA

Practice address

1336 Columbia Dr
Suite B
Decatur, GA 30032-2851

Phone

(404) 288-2600

Fax

(404) 288-9016

NPI assigned

May 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jay C. Fisher DMD PC

  • General Practice Dentistry
  • Decatur, GA
  • NPI 1588836530
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1275585804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 COLUMBIA DR",
            "address_2": "SUITE B",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300322851",
            "telephone_number": "404-288-2600",
            "fax_number": "404-288-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 COLUMBIA DR",
            "address_2": "SUITE B",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300322851",
            "telephone_number": "404-288-2600",
            "fax_number": "404-288-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "JAYANTHI",
        "middle_name": "CHAWAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN010766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00401552A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• First Choice Medical Supply, Inc
• First Family Home Care LLC
• First Medical Care Inc
• Firststop Medical Clinic LLC
• Keith F Fishe, O.D.
• Melanie C Fisher, APRN- CNS
• Vicki Genelle Fisher, LCSW
• Diane Marie Fisk, PA-C
• Fitly Spoken, LLC
• Linda Shelling Fitzgerald, PT

• General Practice Dentistry in Decatur, GA
• Providers in Decatur, 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 Mar 31, 2008; 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.