Active NPI
Jeremy Tarver, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Atlanta, GA
National Provider Identifier
1437566015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DN014570
- Practice address
- 550 Peachtree St NE
1780
Atlanta, GA 30308-2208 - Phone
- (404) 589-1160
- NPI assigned
- Jul 16, 2014
- Last updated
- Nov 18, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DN014570 | GA | Primary |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 055317 | NY |
Addresses
Primary practice location
550 Peachtree St NE
1780
Atlanta, GA 30308-2208
Mailing address
550 Peachtree St NE
1780
Atlanta, GA 30308-2208
Phone (404) 589-1160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- Howard University College of Dentistry, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
234 E 149 St
Bronx, NY 10451-5504
2758 Middle Country Rd
Lake Grove, NY 11755-2118
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN014570 | GA | MD | Oral and Maxillofacial Surgery (Dentist) |
| 055317 | NY | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MH Dental PC | Past | Accepting new patients |
Interoperability endpoints
- jtarver3900738@nychhc.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763424000000",
"number": "1437566015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE",
"address_2": "1780",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082208",
"telephone_number": "404-589-1160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE",
"address_2": "1780",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082208",
"telephone_number": "404-589-1160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARVER",
"first_name": "JEREMY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-16",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "GA",
"license": "DN014570",
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NY",
"license": "055317",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.