Individual provider Active NPI

Janet Hogan Harrison, D.D.S. P.C.

  • Dentist
  • Milledgeville, GA
National Provider Identifier
1295733897
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8768 Issued in GA
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

Updated by the provider on Feb 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00151126AMedicaidGA
0792229OtherGAUNITED 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170119000740 GA Order and Referring Only - DentistPractitioner - Dentist 6406138874

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Janet Hogan Harrison DDS. P.C. Current Accepting new patients

Locations

108 Fieldstone Dr
Milledgeville, GA 31061
Phone (478) 453-3532

Interoperability endpoints

  • Direct secure messaging: janet.harrison@oconeeregional.gadirect.net
  • Direct secure messaging: 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.

FacilityTypeRoleSince
Atrium Health Navicent BaldwinMilledgeville, GA, CCN 110150 Hospital Corporate Director Feb 22, 2018
Atrium Health Navicent Baldwin Skilled Nursing UnitMilledgeville, GA, CCN 115649 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.

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.

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

Verify at the official NPI Registry.