Jachelle A G Sprattling, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4143 Issued in SC

Practice address

203 S Marion St
Latta, SC 29565-1522

Phone

(843) 752-7655

Fax

(843) 752-4500

NPI assigned

Aug 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jachelle A Garrett Former name

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Modern Legacy, Inc.

  • General Practice Dentistry
  • Latta, SC
  • NPI 1992032486
  NPD Authorized official
• Latta Smiles

  • Dentist
  • Latta, SC
  • NPI 1700082930
  NPD (past)

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1659489003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S MARION ST",
            "city": "LATTA",
            "state": "SC",
            "postal_code": "295651522",
            "telephone_number": "843-752-7655",
            "fax_number": "843-752-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S MARION ST",
            "city": "LATTA",
            "state": "SC",
            "postal_code": "295651522",
            "telephone_number": "843-752-7655",
            "fax_number": "843-752-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRATTLING",
        "first_name": "JACHELLE",
        "middle_name": "A G",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-27",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACHELLE",
            "last_name": "GARRETT",
            "middle_name": "A",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Stroud Price, DMD
• Primeco Transport
• Save Our Youth Movement
• Seven Days in-Home Care Agency, LLC
• Kelly Hyatt Smith, RN
• Kareem Sprattling, DMD
• Touch of Blessings, LLC
• Angelica Akia Williams
• Shatwaylla Ceora Tenesha Williams
• Lometria Wilson

• General Practice Dentistry in Latta, SC
• Providers in Latta, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.