Organization Active NPI

Georgia Dental Group-Fitzgerald PC

  • Dental Clinic/Center
  • Fitzgerald, GA
National Provider Identifier
1699686782
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GEORGIA DENTAL GROUP-FITZGERALD PC
Practice address
320 Benjamin H Hill Dr SW
Fitzgerald, GA 31750-8694
Phone
(229) 423-9471
NPI assigned
Sep 16, 2026
Last updated
Sep 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Authorized official

Name
Christopher Zacharewicz
Title
Coo
Phone
(913) 961-1270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

320 Benjamin H Hill Dr SW
Fitzgerald, GA 31750-8694

Mailing address

134 Professional Way
Baldwin, GA 30511-4009
Phone (913) 961-1270

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1699686782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 PROFESSIONAL WAY",
            "city": "BALDWIN",
            "state": "GA",
            "postal_code": "305114009",
            "telephone_number": "913-961-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BENJAMIN H HILL DR SW",
            "city": "FITZGERALD",
            "state": "GA",
            "postal_code": "317508694",
            "telephone_number": "229-423-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA DENTAL GROUP-FITZGERALD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "ZACHAREWICZ",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "913-961-1270"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitzgerald, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.