Individual provider Active NPI

Scarlet Beatriz Charmelo Silva, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Augusta, GA
National Provider Identifier
1669995593
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DNF000428 Issued in GA
Practice address
1430 John Wesley Gilbert Dr
Augusta, GA 30912-0001
Phone
(706) 721-0406
Fax
(706) 721-4937
NPI assigned
Jul 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral Medicine Dentistry 125Q00000X DNF000428 GA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DNF000428 GA Primary

Addresses

Primary practice location

1430 John Wesley Gilbert Dr
Augusta, GA 30912-0001

Mailing address

1430 John Wesley Gilbert Drive GC-1012
Augusta, GA 30912-0001
Phone (706) 721-0406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20220125002197 GA Practitioner - Oral SurgeryPractitioner - Dentist 4880021302 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Dentist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Au Dental AssociatesGroup PAC ID 7810988607, 7 clinicians

Practice addresses (Care Compare)

1430 John Wesley Gilbert Dr
GC 1024
Augusta, GA 30912-1001
Phone (706) 721-2371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DNF000428GAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC Current Accepting new patients
Au Dental Associates Dentist CurrentSince Jan 23, 2023 Accepting new patients
Au Medical Associates Inc CurrentSince Feb 1, 2022 Accepting new patients
Au Surgery Center, LLC CurrentSince Mar 16, 2021 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Oct 1, 2023 Accepting new patients
Au Medical Associates Inc CurrentSince Feb 1, 2022 Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1120 15th St
#6000
Augusta, GA 30912
Phone (706) 721-3813

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

Organizations & group practices 6

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": "1500768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1669995593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 JOHN WESLEY GILBERT DRIVE GC-1012",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120001",
            "telephone_number": "706-721-0406",
            "fax_number": "706-721-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 JOHN WESLEY GILBERT DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120001",
            "telephone_number": "706-721-0406",
            "fax_number": "706-721-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARMELO SILVA",
        "first_name": "SCARLET",
        "middle_name": "BEATRIZ",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-23",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "125Q00000X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral Medicine",
            "state": "GA",
            "license": "DNF000428",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "DNF000428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.