Individual provider Active NPI

Henry B. Briggs III, DMD

  • General Practice Dentistry
  • Peachtree City, GA
National Provider Identifier
1487271896
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN122597 Issued in GA
Practice address
1001 N Peachtree Pkwy Ste a
Peachtree City, GA 30269-4210
Phone
(770) 268-9112
NPI assigned
Jul 1, 2020
Last updated
Mar 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.026232 OH
General Practice Dentistry 1223G0001X DN122597 GA Primary

Addresses

Primary practice location

1001 N Peachtree Pkwy Ste a
Peachtree City, GA 30269-4210

Mailing address

105 W 4TH St Unit 1106
Cincinnati, OH 45202-1184

Other practice location 1

6175 Glenway Ave Ste A
Cincinnati, OH 45211-6337
Phone (513) 318-4775

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
I20220505000485 GA Order and Referring Only - DentistPractitioner - Dentist 7315334679

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.026232OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree City Dental Group, PC General Practice PastSince Mar 6, 2022 Accepting new patients
Dentists of Westwood PC, Inc. PastSince Jul 1, 2020 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1487271896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W 4TH ST UNIT 1106",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N PEACHTREE PKWY STE A",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694210",
            "telephone_number": "770-268-9112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6175 Glenway Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452116337",
            "country_code": "US",
            "telephone_number": "513-318-4775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIGGS",
        "first_name": "HENRY",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-01",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.026232",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

Verify at the official NPI Registry.