George Mitchell Baldree, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DS005096 Issued in TN

Practice address

200 W Main St
Chattanooga, TN 37408-1136

Phone

(423) 265-6685

Fax

(423) 265-8206

NPI assigned

Oct 24, 2006

Last updated

Dec 31, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 13, 2016 through Oct 13, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Southside Dental Arts, LLC

  dba Mitchell Baldree, DDS

  • Prosthodontics
  • Chattanooga, TN
  • NPI 1538456199
  NPD Authorized official

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356912000000",
    "number": "1548343189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W MAIN ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374081136",
            "telephone_number": "423-265-6685",
            "fax_number": "423-265-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W MAIN ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374081136",
            "telephone_number": "423-265-6685",
            "fax_number": "423-265-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDREE",
        "first_name": "GEORGE",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2012-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TN",
            "license": "DS005096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Bakker, CNM
• Sherri Lea Bakland, NP-C
• Sanat V. Bakshi, M.D.
• Alex Christopher Balboa, MD
• Ashley Noel Baldner, R.D., L.D.N.
• Joseph Clark Baldridge, P.T.
• Tasha Baldridge, MSN, APRN, FNP
• Rachel Carboni Baldwin, CRNA
• Carlos E Baleeiro, MD
• Katelyn Wilkinson Bales

• Prosthodontics in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Prosthodontics in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.