Individual provider Active NPI

Joe F Hair Jr., D.M.D.

  • General Practice Dentistry
  • Douglasville, GA
National Provider Identifier
1306860143
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN009636 Issued in GA
Practice address
6842 Douglas Blvd
Suite K
Douglasville, GA 30135-1576
Phone
(770) 949-1005
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN009636 GA Primary

Addresses

Primary practice location

6842 Douglas Blvd
Suite K
Douglasville, GA 30135-1576

Mailing address

6842 Douglas Blvd
Suite K
Douglasville, GA 30135-1576
Phone (770) 949-1005

Other identifiers 2

IdentifierTypeStateIssuer
000919311CMedicaidGA
000919311BMedicaidGA

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
I20260106000807 GA Practitioner - Oral Surgery 2062689557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2422 Barrett Preserve CT SW
Marietta, GA 30064-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN009636GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Resolution LLC CurrentSince Jul 22, 2025 Accepting new patients
Joe F. Hair, Jr., D.M.D., P.a. General Practice PastSince May 10, 2011 Accepting new patients

Locations

3900 Frey Rd NW
Ste 100
Kennesaw, GA 30144
Phone (770) 424-9292

Organizations & group practices 2

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299801600000",
    "number": "1306860143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6842 DOUGLAS BLVD",
            "address_2": "SUITE K",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351576",
            "telephone_number": "770-949-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6842 DOUGLAS BLVD",
            "address_2": "SUITE K",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351576",
            "telephone_number": "770-949-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIR",
        "first_name": "JOE",
        "middle_name": "F",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN009636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000919311C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000919311B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

Verify at the official NPI Registry.