Active NPI
Nagwa Elamin, DDS
- General Practice Dentistry
- Gainesville, GA
National Provider Identifier
1598836074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN013007
- Practice address
- 655 Jesse Jewell Pkwy SE
# E
Gainesville, GA 30501-3756 - Phone
- (770) 539-9110
- Fax
- (770) 539-9133
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN013007 | GA | Primary |
Addresses
Primary practice location
655 Jesse Jewell Pkwy SE
# E
Gainesville, GA 30501-3756
Mailing address
1459 Belmont Hills Dr
Suwanee, GA 30024-2005
Phone (770) 539-9110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390489607A | Medicaid | GA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN013007 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Georgia Dental Sedation Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Dentistry
- Gainesville, GA
- NPI 1194972901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373414400000",
"number": "1598836074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1459 BELMONT HILLS DR",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300242005",
"telephone_number": "770-539-9110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 JESSE JEWELL PKWY SE",
"address_2": "# E",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013756",
"telephone_number": "770-539-9110",
"fax_number": "770-539-9133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELAMIN",
"first_name": "NAGWA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2013-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN013007",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "390489607A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.