Individual provider Active NPI

James Thomas Maholick, D.M.D.

  • Dentist
  • Columbus, GA
National Provider Identifier
1669877791
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN012555 Issued in GA
Practice address
3081 Williams Road
Unit B-100
Columbus, GA 31909
Phone
(706) 494-1200
Fax
(706) 494-1333
NPI assigned
Oct 31, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN012555 GA Primary

Addresses

Primary practice location

3081 Williams Road
Unit B-100
Columbus, GA 31909

Mailing address

3081 Williams Road
Unit B-100
Columbus, GA 31909
Phone (706) 494-1200

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

LicenseStateTypeSpecialty
DN012555GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
James T Maholick DMD Dentist CurrentSince May 16, 2021 Accepting new patients

Locations

7290 North Lake Dr
Ste 505
Columbus, GA 31909

3081 Williams Rd
Unit B100
Columbus, GA 31909
Phone (706) 494-1200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1669877791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3081 WILLIAMS ROAD",
            "address_2": "UNIT B-100",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31909",
            "telephone_number": "706-494-1200",
            "fax_number": "706-494-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3081 WILLIAMS ROAD",
            "address_2": "UNIT B-100",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31909",
            "telephone_number": "706-494-1200",
            "fax_number": "706-494-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHOLICK",
        "first_name": "JAMES",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-31",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN012555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.