Gerald E Cauthen, DDS
Individual provider Active NPI General Practice Dentistry · Barnesville, GA
NPI 1639187693 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1639187693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 8168 (GA)
- Practice address
- 819 College Dr
Barnesville, GA 30204 - Phone
- (770) 358-0101
- Fax
- (770) 358-3089
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160414001746 | GA | Order and Referring Only - Other (Non-Physician) | 7416255096 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8168 | GA | MD | Anesthesiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8168 | GA | Yes |
Addresses
Primary practice location
819 College Dr
Barnesville, GA 30204
Mailing address
819 College Dr
Barnesville, GA 30204
Phone (770) 358-0101
Other providers in Barnesville, GA
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- Lindsey Nicole Burnett
- Kasi Byrd
- Charlaya D Campbell
- Carters Drug Store
- Kaitlyn Jones Cawley
- Centerpoint Counseling and Care Support Services, LLC
- Bonnie Sollenberger Clemons
- Sallie P Coke
- Community Primary Care of Georgia LLC
All providers in Barnesville, GA · General Practice Dentistry in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.