Individual provider Active NPI

Michael Terrence McCartney Jr., DMD, FAGD

  • General Practice Dentistry
  • Adel, GA
National Provider Identifier
1598874240
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
011357 Issued in GA
Practice address
101 W 5TH St
Adel, GA 31620-2610
Phone
(229) 896-7679
Fax
(229) 896-3918
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 011357 GA Primary

Addresses

Primary practice location

101 W 5TH St
Adel, GA 31620-2610

Mailing address

101 W 5TH St
PO Box 279
Adel, GA 31620-2610
Phone (229) 896-7679

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
011357GAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598874240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W 5TH ST",
            "address_2": "PO BOX 279",
            "city": "ADEL",
            "state": "GA",
            "postal_code": "316202610",
            "telephone_number": "229-896-7679",
            "fax_number": "229-896-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 5TH ST",
            "city": "ADEL",
            "state": "GA",
            "postal_code": "316202610",
            "telephone_number": "229-896-7679",
            "fax_number": "229-896-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTNEY",
        "first_name": "MICHAEL",
        "middle_name": "TERRENCE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD, FAGD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "011357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adel, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.