Individual provider Active NPI

Brittany Thome Hoover, DMD

  • General Practice Dentistry
  • Norcross, GA
National Provider Identifier
1689836470
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13690 Issued in GA
Practice address
1590 Oakbrook Dr
Suite 200
Norcross, GA 30093-2245
Phone
(770) 449-0836
Fax
(770) 441-0299
NPI assigned
Jul 2, 2008
Last updated
Feb 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13690 GA Primary

Addresses

Primary practice location

1590 Oakbrook Dr
Suite 200
Norcross, GA 30093-2245

Mailing address

3238 Krisam Creek Dr.
Loganville, GA 30052
Phone (770) 466-0474

Other names 1

  • Brittany Thome Hayes Former name

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
I20240119002839 GA Practitioner - Dentist 3577915040 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13690GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ethne Health CurrentSince Dec 10, 2023 Accepting new patients
Ethne Health, Inc CurrentSince Dec 10, 2023 Accepting new patients
Creekside Dentistry, LLC General Practice Past Accepting new patients

Locations

4122 E Ponce de Leon Ave
Ste 5
Clarkston, GA 30021
Phone (404) 294-8385

980 Rowland St
#4190
Clarkston, GA 30021
Phone (470) 799-0044

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18426/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1689836470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3238 KRISAM CREEK DR.",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "30052",
            "telephone_number": "770-466-0474",
            "fax_number": "770-441-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 OAKBROOK DR",
            "address_2": "SUITE 200",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932245",
            "telephone_number": "770-449-0836",
            "fax_number": "770-441-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "BRITTANY",
        "middle_name": "THOME",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "13690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "HAYES",
            "middle_name": "THOME",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norcross, GA

Sources for this page

Verify at the official NPI Registry.