Active NPI
Janet Hogan Harrison, D.D.S. P.C.
- Dentist
- Milledgeville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8768
- Practice address
- 108 Fieldstone Dr
Milledgeville, GA 31061-7110 - Phone
- (478) 453-7535
- Fax
- (478) 453-7536
- NPI assigned
- Jul 8, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 8768 | GA | Primary |
Addresses
Primary practice location
108 Fieldstone Dr
Milledgeville, GA 31061-7110
Mailing address
108 Fieldstone Drive
Milledgeville, GA 31061
Phone (478) 453-7535
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00151126A | Medicaid | GA | |
| 0792229 | Other | GA | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170119000740 | GA | Order and Referring Only - Dentist | 6406138874 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Janet Hogan Harrison DDS. P.C. | Current | Accepting new patients |
Locations
108 Fieldstone Dr
Milledgeville, GA 31061
Phone (478) 453-3532
Interoperability endpoints
- janet.harrison@oconeeregional.gadirect.net
- harrison.janet@oconeeregional.gadirect.net
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Atrium Health Navicent Baldwin | Hospital | Corporate Director | Feb 22, 2018 |
| Atrium Health Navicent Baldwin Skilled Nursing Unit | Skilled nursing facility | Managing Control - Governing Body Trustee of the SNF |
Feb 22, 2018 Feb 22, 2018 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Milledgeville, GA
- NPI 1841701562
Corporate Director
-
- Skilled Nursing Facility
- Milledgeville, GA
- NPI 1912180878
Managing Control - Governing Body, Trustee of the SNF
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Milledgeville, GA
- NPI 1962788497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391990400000",
"number": "1295733897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 FIELDSTONE DRIVE",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "31061",
"telephone_number": "478-453-7535",
"fax_number": "478-453-7536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 FIELDSTONE DR",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310617110",
"telephone_number": "478-453-7535",
"fax_number": "478-453-7536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "JANET",
"middle_name": "HOGAN",
"credential": "D.D.S. P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-08",
"last_updated": "2014-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "8768",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00151126A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "0792229",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milledgeville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.