Varnell Gaines, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN008943 Issued in GA

Practice address

1930 Highland Ave
Suite C
Augusta, GA 30904-7800

Phone

(706) 738-0482

Fax

(706) 737-2908

NPI assigned

Dec 8, 2006

Last updated

Oct 15, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Varnell Gaines DMD PC

  • General Practice Dentistry
  • Augusta, GA
  • NPI 1760668404
  NPD (past) Authorized official

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1447319942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 FLAGLER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309099573",
            "telephone_number": "706-860-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 HIGHLAND AVE",
            "address_2": "SUITE C",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309047800",
            "telephone_number": "706-738-0482",
            "fax_number": "706-737-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "VARNELL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN008943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000165107C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL IDENTIFIER",
            "identifier": "9183671",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Marlene Gaidis, MD
• Marana Cherelle Gainer, M.ED
• Joidaz Jermaine Gaines
• Precious Gaines
• Tiffany Nichole Gaines, LMSW
• Martha Galan
• John Anthony Galdo, PHARM.D.
• Brenda L. Galeas, CRNA
• Mallory Galemore, DO
• Carole M Gallagher, LCSW

• General Practice Dentistry in Augusta, GA
• Providers in Augusta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.