Individual provider Active NPI

James P McAndrews, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Decatur, GA
National Provider Identifier
1477626182
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN12391 Issued in GA
Practice address
5243 Snapfinger Woods Dr Ste 106
Decatur, GA 30035-4000
Phone
(770) 981-9400
Fax
(709) 878-7207
NPI assigned
Nov 17, 2006
Last updated
Feb 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 38089 CA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN12391 GA Primary

Addresses

Primary practice location

5243 Snapfinger Woods Dr Ste 106
Decatur, GA 30035-4000

Mailing address

1463 Klondike Rd SW Ste C
Conyers, GA 30094-5127
Phone (770) 483-9692

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
I20240521002492 GA Practitioner - Oral Surgery 1951663335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
University of Southern California Keck School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oral Surgery Associates and Dental Implant Center PCGroup PAC ID 9537154968, 9 clinicians

Practice addresses (Care Compare)

5243 Snapfinger Woods Dr
Suite 106
Decatur, GA 30035-4026
Phone (404) 233-5385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN12391GAMDOral and Maxillofacial Surgery (Dentist)
38089CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Oral Surgery Associates & Dental Implant Center PC Oral and Maxillofacial Surgery CurrentSince Jul 6, 2024 Accepting new patients
Sentry Anesthesia Management, LLC CurrentSince Mar 3, 2024 Accepting new patients
Liu Makan Downey Dental Corporation Oral and Maxillofacial Surgery PastSince Mar 31, 2024 Accepting new patients

Locations

1463 Klondike Rd SW
Conyers, GA 30094

1463 Klondike Rd SW
Ste C
Conyers, GA 30094
Phone (770) 483-9692

5243 Snapfinger Woods Dr
Ste 106
Decatur, GA 30035
Phone (404) 233-5385

2386 Clower St
Ste F100
Snellville, GA 30078
Phone (770) 979-9500

4915 Lavista Rd
Tucker, GA 30084
Phone (404) 528-3500

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.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1477626182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1463 KLONDIKE RD SW STE C",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945127",
            "telephone_number": "770-483-9692",
            "fax_number": "770-922-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5243 SNAPFINGER WOODS DR STE 106",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354000",
            "telephone_number": "770-981-9400",
            "fax_number": "709-878-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCANDREWS",
        "first_name": "JAMES",
        "middle_name": "P",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "38089",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "DN12391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.