Amit Singh Bajwa, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN124346 Issued in GA

Practice address

1152 Old Salem Rd SE
Conyers, GA 30094-5944

Phone

(678) 233-2973

NPI assigned

Jun 7, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Amit Ram Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1558938753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 OLD SALEM RD SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945944",
            "telephone_number": "321-773-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 OLD SALEM RD SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945944",
            "telephone_number": "678-233-2973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1748 Bruce B Downs Blvd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335448640",
            "country_code": "US",
            "telephone_number": "813-907-1151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAJWA",
        "first_name": "AMIT",
        "middle_name": "SINGH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-07",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN25894",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN124346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMIT",
            "last_name": "RAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ji Yoon Baek, M.D.
• Ebone Brianne Bailey
• Monique T Bailey
• Nathalie G Bailey, NP-C
• Ora Jessica Bailey, PHARMD
• R. Wayne Baker, OD
• Samantha Banks, MSN, FNP-C
• Stephanie Baptiste, PHARMD
• Shamora Barnard
• Samuel Mario Barros

• Dentist in Conyers, GA
• Providers in Conyers, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.