Individual provider Active NPI

James Myrick McGee I, D.M.D.

  • General Practice Dentistry
  • Stone Mountain, GA
National Provider Identifier
1356347447
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN011740 Issued in GA
Practice address
2120 Rockbridge Rd
Stone Mountain, GA 30087-3514
Phone
(770) 879-4510
Fax
(770) 879-4512
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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 DN011740 GA Primary

Addresses

Primary practice location

2120 Rockbridge Rd
Stone Mountain, GA 30087-3514

Mailing address

1425 Brawley Cir NE
Brookhaven, GA 30319-1710
Phone (404) 852-9574

Other identifiers 1

IdentifierTypeStateIssuer
613820087CMedicaidGA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150424000988 GA Order and Referring Only - Maxillofacial SurgeryPractitioner - Maxillofacial Surgery 1951620970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
James M. McGee, D.M.D., P.C. General Practice CurrentSince Nov 17, 2019 Accepting new patients

Locations

5462 Memorial Dr
Ste 103
Stone Mountain, GA 30083
Phone (770) 469-1331

2120 Rockbridge Rd
Stone Mountain, GA 30087
Phone (770) 413-4213

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1356347447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 BRAWLEY CIR NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303191710",
            "telephone_number": "404-852-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 ROCKBRIDGE RD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873514",
            "telephone_number": "770-879-4510",
            "fax_number": "770-879-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGEE",
        "first_name": "JAMES",
        "middle_name": "MYRICK",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "613820087C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

Verify at the official NPI Registry.