Active NPI
Johnny B Murphy Jr., D.M.D.
- General Practice Dentistry
- Augusta, GA
National Provider Identifier
1477571560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 011513
- Practice address
- 1930 Highland Ave Ste B
Augusta, GA 30904-7802 - Phone
- (706) 738-1231
- Fax
- (706) 738-1474
- NPI assigned
- Jul 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 011513 | GA | Primary |
Addresses
Primary practice location
1930 Highland Ave Ste B
Augusta, GA 30904-7802
Mailing address
1930 Highland Ave Ste B
Augusta, GA 30904-7802
Phone (706) 738-1231
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00906133A | Medicaid | GA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011513 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Dental Professionals, PC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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
- Evans, GA
- NPI 1710478102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1477571560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 HIGHLAND AVE STE B",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309047802",
"telephone_number": "706-738-1231",
"fax_number": "706-738-1474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 HIGHLAND AVE STE B",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309047802",
"telephone_number": "706-738-1231",
"fax_number": "706-738-1474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURPHY",
"first_name": "JOHNNY",
"middle_name": "B",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "011513",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00906133A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.