Active NPI
Karin Macayla Jamison, DMD
- General Practice Dentistry
- Ft Gordon, GA
National Provider Identifier
1275975658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9328
- Practice address
- BLDG 38717 38TH Street
USA Dentac
Ft Gordon, GA 30905-5660 - Phone
- (706) 787-6927
- Fax
- (706) 787-2082
- NPI assigned
- Jul 25, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9328 | KY | Primary |
Addresses
Primary practice location
BLDG 38717 38TH Street
USA Dentac
Ft Gordon, GA 30905-5660
Mailing address
BLDG 38717 38TH Street
USA Dentac
Ft Gordon, GA 30905-5660
Phone (706) 787-6927
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 |
|---|---|---|---|
| 9328 | KY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374710400000",
"number": "1275975658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BLDG 38717 38TH STREET",
"address_2": "USA DENTAC",
"city": "FT GORDON",
"state": "GA",
"postal_code": "309055660",
"telephone_number": "706-787-6927",
"fax_number": "706-787-2082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLDG 38717 38TH STREET",
"address_2": "USA DENTAC",
"city": "FT GORDON",
"state": "GA",
"postal_code": "309055660",
"telephone_number": "706-787-6927",
"fax_number": "706-787-2082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMISON",
"first_name": "KARIN",
"middle_name": "MACAYLA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-25",
"last_updated": "2013-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "9328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft Gordon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.