Active NPI
Terry Joe Lemons, DDS
- General Practice Dentistry
- Suwanee, GA
National Provider Identifier
1326068735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11049
- 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, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58-2443006 | Other | GA | TAX 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11049 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terry J. Lemons, DDS, PC | Current | 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.