Active NPI
Charles Daniel Collins, DMD
- Dentist
- Greensboro, GA
National Provider Identifier
1679777320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DNO13550
- Practice address
- 1041 Parkside Commons
Suite 104
Greensboro, GA 30642 - Phone
- (706) 454-0044
- NPI assigned
- Jun 14, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DNO13550 | GA | Primary |
Addresses
Primary practice location
1041 Parkside Commons
Suite 104
Greensboro, GA 30642
Mailing address
131 W River Bend Dr
Eatonton, GA 31024-5328
Phone (706) 830-6777
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
| License | State | Type | Specialty |
|---|---|---|---|
| DNO13550 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Dental Alliance of Greensboro | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Greensboro, GA
- NPI 1710522065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679777320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 W RIVER BEND DR",
"city": "EATONTON",
"state": "GA",
"postal_code": "310245328",
"telephone_number": "706-830-6777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 PARKSIDE COMMONS",
"address_2": "SUITE 104",
"city": "GREENSBORO",
"state": "GA",
"postal_code": "30642",
"telephone_number": "706-454-0044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "CHARLES",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DNO13550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, GA
- Harry Cheves III, M.D.
- Christopher J Bassett MD PC (Lake Oconee Pediatrics)
- Tawny Cobb
- Elizabeth Appelquest Coe, DO
- Craig Colby, M.D.
- Compounding Specialists at Lake Oconee Inc (Lake Country Pharmacy & Compounding Center)
- Adrianne Copelan, PTA
- Core Brace and Biostimulation
- Cowles Clinic Services, LLC
- Cowles Clinic Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.