Active NPI
Georgia Dent, HAIR LOSS SPECIALIST
- Prosthetics Case Management
- Vicksburg, MS
National Provider Identifier
1427796168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- Practice address
- 1808 S Frontage Rd Ste 1
Vicksburg, MS 39180-5263 - Phone
- (601) 661-8326
- NPI assigned
- May 23, 2022
- Last updated
- May 23, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | MS | Primary |
Addresses
Primary practice location
1808 S Frontage Rd Ste 1
Vicksburg, MS 39180-5263
Mailing address
1808 South Frontage Road, Suite 1
Vicksburg, MS 39180-5263
Phone (601) 661-8326
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
Organizations & group practices 3
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.
-
- Durable Medical Equipment & Medical Supplies
- Vicksburg, MS
- NPI 1184338253
-
- Durable Medical Equipment & Medical Supplies
- Vicksburg, MS
- NPI 1326752932
-
- Prosthetic/Orthotic Supplier
- Vicksburg, MS
- NPI 1659085272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653264000000",
"number": "1427796168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1808 SOUTH FRONTAGE ROAD, SUITE 1",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391805263",
"telephone_number": "601-661-8326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1808 S FRONTAGE RD STE 1",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391805263",
"telephone_number": "601-661-8326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENT",
"first_name": "GEORGIA",
"credential": "HAIR LOSS SPECIALIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-23",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "MS",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vicksburg, MS
- Delta Foot Clinics, Inc (The Foot Clinic)
- Delta Orthodontic Specialists LLC
- Delta Orthodontic Specialists, LLC
- Denesia Y Giffin PLLC
- Rhonda C Denman, LMFT
- Dental Professionals of Mississippi, P.C. (MY Vicksburg Dentist)
- Dermatology and Skin Cancer Clinic, P.a.
- Diabetic Shoe Source
- Diagnostic Testing Solutions
- Divine Home Care Changes
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.