Individual provider Active NPI

Terry Joe Lemons, DDS

  • General Practice Dentistry
  • Suwanee, GA
National Provider Identifier
1326068735
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11049 Issued in GA
Practice address
4060 Johns Creek Pkwy
BLDG, B
Suwanee, GA 30024-1230
Phone
(770) 418-1414
Fax
(770) 418-1446
NPI assigned
Jul 20, 2006
Last updated
Mar 6, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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 11049 GA Primary

Addresses

Primary practice location

4060 Johns Creek Pkwy
BLDG, B
Suwanee, GA 30024-1230

Mailing address

4060 Johns Creek Parkway
BLDG B
Suwanee, GA 30024
Phone (770) 418-1414

Other identifiers 1

IdentifierTypeStateIssuer
58-2443006OtherGATAX ID#

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
11049GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Terry J. Lemons, DDS, PC CurrentSince May 16, 2021 Accepting new patients

Locations

4060 Johns Creek Pkwy
Ste B
Suwanee, GA 30024
Phone (770) 418-1414

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1326068735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 JOHNS CREEK PARKWAY",
            "address_2": "BLDG B",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "30024",
            "telephone_number": "770-418-1414",
            "fax_number": "770-418-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 JOHNS CREEK PKWY",
            "address_2": "BLDG, B",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241230",
            "telephone_number": "770-418-1414",
            "fax_number": "770-418-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMONS",
        "first_name": "TERRY",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "11049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "58-2443006",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.