Epp Georgia LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

EPP GEORGIA LLC

Practice address

3275 Market Place Blvd Ste 200
Cumming, GA 30041-7978

Phone

(770) 781-5990

NPI assigned

Jun 26, 2020

Organization subpart

No

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

Authorized official

Name

Vicki Gorlitz

Title

Contracting & Credentialing Manager

Phone

(248) 505-9977

Specialties & licenses 1

Addresses

Electronic endpoints 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Charles Garabadian, D.M.D

  • Endodontics
  • Cumming, GA
  • NPI 1144343880
  NPD (past)

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1306463286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 MARYLAND WAY STE 115",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 MARKET PLACE BLVD STE 200",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417978",
            "telephone_number": "770-781-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPP GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "GORLITZ",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "CONTRACTING & CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "248-505-9977"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@cummingendo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3275 Market Place Blvd Ste 200",
            "city": "Cumming",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300417978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@cummingendo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3275 Market Place Blvd Ste 200",
            "city": "Cumming",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300417978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Endodontics in Cumming, GA
• Providers in Cumming, GA by specialty
• Endodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.