Gia S. Grannum, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN013924 Issued in GA

Practice address

5185 Peachtree Pkwy Ste 325
Peachtree Corners, GA 30092-6541

Phone

(678) 831-5437

NPI assigned

Jul 21, 2008

Last updated

Sep 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Gia S. Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Agape Pediatric Dentistry and Orthodontics, LLC

  dba Agape Pediatric Dentistry

  • Pediatric Dentistry
  • Peachtree Corners, GA
  • NPI 1629830534
  NPD Authorized official

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1700041639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5185 PEACHTREE PKWY STE 325",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300926541",
            "telephone_number": "678-831-5437",
            "fax_number": "678-831-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5185 PEACHTREE PKWY STE 325",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300926541",
            "telephone_number": "678-831-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANNUM",
        "first_name": "GIA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "25502",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "25502",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN013924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003121519",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GIA",
            "last_name": "SMITH",
            "middle_name": "S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Justin Gordon, LCSW
• Julian Gorvy, M.D.
• Ashley Smith Gottschalk, BCCC
• Anna Julia Gowasack, MS
• Grace Midwifery & Women's Health
• Great Care Transport Inc
• Greater Dental Health, LLC (Greater Dental Health)
• Cherisse Fowles Gregory
• Cheryl Renee Gregory, APRN
• Arianna Phyllis Griffin

• Pediatric Dentistry in Peachtree Corners, GA
• Providers in Peachtree Corners, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.