Active NPI
Hidiat Menasie
- Dentist
- Peachtree City, GA
National Provider Identifier
1659296630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN124344
- Practice address
- 1001 N Peachtree Pkwy Ste a
Peachtree City, GA 30269-4210 - Phone
- (770) 268-9112
- NPI assigned
- Aug 11, 2026
- Last updated
- Aug 11, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | DN124344 | GA | Primary |
Addresses
Primary practice location
1001 N Peachtree Pkwy Ste a
Peachtree City, GA 30269-4210
Mailing address
1148 Douglas Fir CT
Lawrenceville, GA 30044-6258
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 |
|---|---|---|---|
| DN124344 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peachtree City Dental Group, PC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Peachtree Dental Group
- General Practice Dentistry
- Peachtree City, GA
- NPI 1487030847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1659296630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1148 DOUGLAS FIR CT",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300446258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 N PEACHTREE PKWY STE A",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302694210",
"telephone_number": "770-268-9112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENASIE",
"first_name": "HIDIAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-11",
"last_updated": "2026-08-11",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN124344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peachtree City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.