Active NPI
Amelia B Granberry, DMD
- Dentist
- Trenton, GA
National Provider Identifier
1619123296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN013770
- Practice address
- 13570 N Main St
Trenton, GA 30752-2012 - Phone
- (706) 657-7575
- Fax
- (706) 657-4430
- NPI assigned
- Aug 14, 2008
- Last updated
- Aug 14, 2008
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN013770 | GA | Primary |
Addresses
Primary practice location
13570 N Main St
Trenton, GA 30752-2012
Mailing address
13570 N Main St
Trenton, GA 30752-2012
Phone (706) 657-7575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN013770 | Other | GA | GA LICENSE |
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 |
|---|---|---|---|
| DN013770 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218672000000",
"number": "1619123296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13570 N MAIN ST",
"city": "TRENTON",
"state": "GA",
"postal_code": "307522012",
"telephone_number": "706-657-7575",
"fax_number": "706-657-4430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13570 N MAIN ST",
"city": "TRENTON",
"state": "GA",
"postal_code": "307522012",
"telephone_number": "706-657-7575",
"fax_number": "706-657-4430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANBERRY",
"first_name": "AMELIA",
"middle_name": "B",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-14",
"last_updated": "2008-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN013770",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA LICENSE",
"identifier": "DN013770",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Trenton, GA
- Brittany G Dee, LMSW
- James Cason Durham, D.C.
- Peggy P Emberson, DMD
- Melody Clements Gaston, OTR L
- Georgia CVS Pharmacy LLC (CVS Pharmacy # 07755)
- Tyler A Hamilton, D.D.S.
- Crystal L Hancock, NP
- Healing Roots Family Practice LLC
- Highland Rivers Community Service Board
- Highland Rivers Community Service Board
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.