Individual provider Active NPI

Gina L Geiger, DMD

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1447304175
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
011193 Issued in GA
Practice address
2380 Benjamin E Mays Dr SW
Ste. a
Atlanta, GA 30311-3200
Phone
(404) 758-1055
Fax
(404) 758-1959
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 011193 GA Primary

Addresses

Primary practice location

2380 Benjamin E Mays Dr SW
Ste. a
Atlanta, GA 30311-3200

Mailing address

2380 Benjamin E Mays Dr SW
Ste. a
Atlanta, GA 30311-3200
Phone (404) 758-1055

Other identifiers 1

IdentifierTypeStateIssuer
00562658CMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160616002282 GA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 8224329560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011193GAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447304175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 BENJAMIN E MAYS DR SW",
            "address_2": "STE. A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303113200",
            "telephone_number": "404-758-1055",
            "fax_number": "404-758-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 BENJAMIN E MAYS DR SW",
            "address_2": "STE. A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303113200",
            "telephone_number": "404-758-1055",
            "fax_number": "404-758-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEIGER",
        "first_name": "GINA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "011193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00562658C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.