Jon a Drawdy DMD PC

Primary specialty

DentistTaxonomy code 122300000X

License

011282 Issued in GA

Legal business name

JON A DRAWDY DMD PC

Practice address

504 Screven Avenue
Waycross, GA 31501

Phone

(912) 285-0062

NPI assigned

May 1, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jon Allen Drawdy, DMD

Title

Owner

Phone

(912) 285-0062

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Jon a Drawdy DMD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jon a Drawdy DMD PC

  • General Practice Dentistry
  • Waycross, GA
  • NPI 1518186915
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan A Drawdy, DMD

  • Dentist
  • Waycross, GA
  • NPI 1952632259
  NPD (past)

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1407022304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 SCREVEN AVENUE",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "31501",
            "telephone_number": "912-285-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 SCREVEN AVENUE",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "31501",
            "telephone_number": "912-285-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON A DRAWDY DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "DRAWDY",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-285-0062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "011282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00063199B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asit K Jha, MD
• John W Akridge MD PC
• Dasha Renee Johns, LPN
• Amber Johnson, CCC-SLP
• Joletha Williams
• Jon a Drawdy DMD PC
• Aquasha Jones
• Laurine Porter Jones, FNP
• Tracy A Jones, CCC-SLP
• Melony Denise Jordan

• Dentist in Waycross, GA
• Providers in Waycross, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.