George Brown Jr., D.M.D., M.S.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN012892 Issued in GA

Practice address

1401 Georgian Park
Suite 100
Peachtree City, GA 30269-6973

Phone

(770) 631-2728

Fax

(770) 631-2714

NPI assigned

May 28, 2013

Last updated

May 28, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Peachtree Endodontics, P.C.

  • Endodontics
  • Peachtree City, GA
  • NPI 1992729552
  NPD (past) Authorized official

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1356788608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 GEORGIAN PARK",
            "address_2": "SUITE 100",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302696973",
            "telephone_number": "770-631-2728",
            "fax_number": "770-631-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 GEORGIAN PARK",
            "address_2": "SUITE 100",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302696973",
            "telephone_number": "770-631-2728",
            "fax_number": "770-631-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D., M.S.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "GA",
            "license": "DN012892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Wallace Brooks, LCSW
• Emma Brosnan, BCBA
• Alison Hammonds Brown, LMSW
• Beverly Brown
• Elizabeth Rainey Brown, FNP
• Jabreeka Brown
• Tamika Brown, DMD
• Tasha Brown
• Vanessa Mae Brozas, OTR
• Judy Ann Bruce, LPC

• Endodontics in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Endodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.