Individual provider Active NPI

Byron Lee Murphy, DDS

  • Pediatric Dentistry
  • Atlanta, GA
National Provider Identifier
1528287935
Registry record updated Jan 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN013043 Issued in GA
Practice address
4054 Buford Hwy NE
Atlanta, GA 30345-1678
Phone
(770) 916-9000
NPI assigned
Apr 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.027674 OH
Pediatric Dentistry 1223P0221X DN013043 GA Primary
Pediatric Dentistry 1223P0221X 1221 KY
Pediatric Dentistry 1223P0221X 11004 SC
General Practice Dentistry 1223G0001X DN013043 GA
General Practice Dentistry 1223G0001X 11252 KY
General Practice Dentistry 1223G0001X 11000 SC

Addresses

Primary practice location

4054 Buford Hwy NE
Atlanta, GA 30345-1678

Mailing address

289 Jonesboro Road
#327
McDonough, GA 30253
Phone (706) 799-5174

Other practice location 1

16B Felton Place
Cartersville, GA 30120
Phone (770) 382-3536

Other practice location 2

1350 Grove Park Dr
Orangeburg, SC 29115-2455
Phone (706) 799-5174

Other practice location 3

3510 Bardstown Rd
Louisville, KY 40218-4604
Phone (706) 799-5174

Other practice location 4

7690 First Pl Ste E
Bedford, OH 44146-6725
Phone (706) 799-5174

Other identifiers 2

IdentifierTypeStateIssuer
451549881BMedicaidGA
451549881CMedicaidGA

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

LicenseStateTypeSpecialty
DN013043GAMDGeneral Practice Dentistry
11252KYMDGeneral Practice Dentistry
30.027674OHMDGeneral Practice Dentistry
1221KYMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Road Dental, PSC General Practice Past Accepting new patients
Kool Smiles SC-2, PC General Practice Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737244800000",
    "number": "1528287935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 JONESBORO ROAD",
            "address_2": "#327",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "30253",
            "telephone_number": "706-799-5174",
            "fax_number": "319-335-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4054 BUFORD HWY NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303451678",
            "telephone_number": "770-916-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16B Felton Place",
            "address_purpose": "LOCATION",
            "city": "Cartersville",
            "state": "GA",
            "postal_code": "30120",
            "country_code": "US",
            "telephone_number": "770-382-3536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Grove Park Dr",
            "address_purpose": "LOCATION",
            "city": "Orangeburg",
            "state": "SC",
            "postal_code": "291152455",
            "country_code": "US",
            "telephone_number": "706-799-5174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3510 Bardstown Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402184604",
            "country_code": "US",
            "telephone_number": "706-799-5174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7690 First Pl Ste E",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "OH",
            "postal_code": "441466725",
            "country_code": "US",
            "telephone_number": "706-799-5174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "BYRON",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2025-01-19",
        "certification_date": "2025-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.027674",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN013043",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "1221",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "11004",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013043",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "11252",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "11000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "451549881B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "451549881C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2025; 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.