Active NPI
James E. Collins, D.D.S.
- General Practice Dentistry
- Atlanta, GA
National Provider Identifier
1659405777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 011981
- Practice address
- 759 Martin Luther King Jr Dr NW
Suite 200
Atlanta, GA 30314-4153 - Phone
- (404) 588-0464
- Fax
- (404) 588-0463
- NPI assigned
- Mar 14, 2007
- Last updated
- Aug 31, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 011981 | GA | Primary |
Addresses
Primary practice location
759 Martin Luther King Jr Dr NW
Suite 200
Atlanta, GA 30314-4153
Mailing address
759 Martin Luther King Jr Dr NW
Suite 200
Atlanta, GA 30314-4153
Phone (404) 588-0464
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000842234D | Medicaid | GA | |
| 663122 | Other | GA | AETNA DENTAL DMO |
| 818223 | Other | GA | UNITED CONCORDIA |
| 1004736 | Medicaid | GA | |
| 017600 | Other | GA | DELTA CARE USA |
| 100673 | Medicaid | GA | |
| 285180 | Other | GA | CIGNA HMO |
| 832232719A | Medicaid | GA |
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 |
|---|---|---|---|
| 011981 | GA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346371200000",
"number": "1659405777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "759 MARTIN LUTHER KING JR DR NW",
"address_2": "SUITE 200",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303144153",
"telephone_number": "404-588-0464",
"fax_number": "404-588-0463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "759 MARTIN LUTHER KING JR DR NW",
"address_2": "SUITE 200",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303144153",
"telephone_number": "404-588-0464",
"fax_number": "404-588-0463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "JAMES",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2012-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "011981",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000842234D",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA DENTAL DMO",
"identifier": "663122",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "818223",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1004736",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA CARE USA",
"identifier": "017600",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100673",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HMO",
"identifier": "285180",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "832232719A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.