Active NPI
Amesha Monique Hurt, DDS
- General Practice Dentistry
- Sandy Springs, GA
National Provider Identifier
1407906993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN013971
- Practice address
- 2090 Dunwoody Club Dr Ste 105
Sandy Springs, GA 30350-5406 - Phone
- (770) 831-0559
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- 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 | DN013971 | GA | Primary |
Addresses
Primary practice location
2090 Dunwoody Club Dr Ste 105
Sandy Springs, GA 30350-5406
Mailing address
2090 Dunwoody Club Dr Ste 105
Sandy Springs, GA 30350-5406
Phone (770) 998-0111
Other names 1
- Amesha Monique Edwards
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160923001402 | GA | Order and Referring Only - Dentist | 4587951207 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN013971 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Lanier Smiles | Past | Accepting new patients | |
| Jett Ferry Dental Group, PC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Sandy Springs, GA
- NPI 1902225592
-
- Dental Clinic/Center
- Buford, GA
- NPI 1235589995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575331200000",
"number": "1407906993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2090 DUNWOODY CLUB DR STE 105",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303505406",
"telephone_number": "770-998-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2090 DUNWOODY CLUB DR STE 105",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303505406",
"telephone_number": "770-831-0559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURT",
"first_name": "AMESHA",
"middle_name": "MONIQUE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2019-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN013971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMESHA",
"last_name": "EDWARDS",
"middle_name": "MONIQUE",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sandy Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.