Jimmy D Bellamy DMD LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DN008567 Issued in GA

Legal business name

JIMMY D BELLAMY DMD LLC

Practice address

5 Medical Office Way
Swainsboro, GA 30401

Phone

(478) 419-1225

NPI assigned

Nov 24, 2014

Last updated

Nov 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jimmy D BellamyNPI 1003854118

Title

Owner

Phone

(678) 267-5784

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jimmy D. Bellamy, DMD

  • General Practice Dentistry
  • Swainsboro, GA
  • NPI 1003854118
  Authorized official Same address or phone

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1619374378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 WADLEY COLEMAN LAKE RD",
            "city": "MIDVILLE",
            "state": "GA",
            "postal_code": "304414934",
            "telephone_number": "678-267-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MEDICAL OFFICE WAY",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "30401",
            "telephone_number": "478-419-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMY D BELLAMY DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "BELLAMY",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-267-5784"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN008567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "387552845B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith Hutcheson
• Krista Karen Hutcheson, LMT
• Jap Healthcare Services, LLC
• Amanda Sweat Jarriel, FNP-C
• Angela Joy Jernigan, R.N.
• Marian Holley Johnson Barrick, R.N.
• Tracie Baker Johnson, LPN
• Harley Kemp Jones Jr., O.D.
• April Michelle Kea
• Jency Stevens Kea, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.