Elisabeth R Waldrip, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN014088 Issued in GA

Practice address

115 E 14TH Avenue
Cordele, GA 31015

Phone

(229) 273-5753

Fax

(229) 513-4466

NPI assigned

Jul 10, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Helen Rainwater Waldrip Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1669784393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5740",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "31010",
            "telephone_number": "229-273-2898",
            "fax_number": "229-273-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 14TH AVENUE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "31015",
            "telephone_number": "229-273-5753",
            "fax_number": "229-513-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDRIP",
        "first_name": "ELISABETH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-10",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HELEN",
            "last_name": "WALDRIP",
            "middle_name": "RAINWATER",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Teddi Virgil, MD
• Vna of Cordele, Inc.
• Justin Edward Wagnon, NP-C
• Wal-Mart Stores East LP
• Wal-Mart Stores Easts, LP.
• Walgreen Co
• Alexandria Wallace, HAD
• Lisa Michelle Walls, LCSW
• Susan Walls, PHARMD
• Bethany Warbington

• General Practice Dentistry in Cordele, GA
• Providers in Cordele, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.