Individual provider Active NPI

Shaki Chaudhary Jameson, DMD

  • Pediatric Dentistry
  • Dacula, GA
National Provider Identifier
1306072533
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN013865 Issued in GA
Practice address
3590 Braselton Hwy Ste 201
Dacula, GA 30019-1120
Phone
(678) 714-7575
NPI assigned
Jun 2, 2009
Last updated
Feb 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN013865 GA Primary

Addresses

Primary practice location

3590 Braselton Hwy Ste 201
Dacula, GA 30019-1120

Mailing address

884 Stone Crest Rd
Atlanta, GA 30324-5673
Phone (617) 504-7537

Other names 1

  • Dr. Shaki Chaudhary Jameson Professional name

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

LicenseStateTypeSpecialty
DN013865GAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
North Georgia Dental Sedation Center Pediatric Dentistry Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1306072533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "884 STONE CREST RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245673",
            "telephone_number": "617-504-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590 BRASELTON HWY STE 201",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191120",
            "telephone_number": "678-714-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMESON",
        "first_name": "SHAKI",
        "middle_name": "CHAUDHARY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-02",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN013865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAKI",
            "last_name": "JAMESON",
            "middle_name": "CHAUDHARY",
            "prefix": "DR.",
            "credential": "D.M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.