Organization Active NPI

John H Ferguson DDS PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Milledgeville, GA
National Provider Identifier
1659447381
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
7306 Issued in GA
Legal business name
JOHN H FERGUSON DDS PC
Practice address
600 North Cobb Street
Milledgeville, GA 31061
Phone
(478) 453-3445
Fax
(478) 453-3447
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John H Ferguson, DDS
Title
Owner President
Phone
(478) 453-3445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 7306 GA Primary

Addresses

Primary practice location

600 North Cobb Street
Milledgeville, GA 31061

Mailing address

PO Box 850
Milledgeville, GA 31059-0850
Phone (478) 453-3445

Other identifiers 1

IdentifierTypeStateIssuer
00045768AMedicaidGA

National Provider Directory

National Provider Directory

Locations

600 N Cobb St
Milledgeville, GA 31061
Phone (478) 453-3445

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659447381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310590850",
            "telephone_number": "478-453-3445",
            "fax_number": "478-453-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NORTH COBB STREET",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "31061",
            "telephone_number": "478-453-3445",
            "fax_number": "478-453-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN H FERGUSON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "478-453-3445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "7306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00045768A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.