Larry Shawn Gurley, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11186 Issued in GA

Practice address

4165 Old Milton Pkwy
Suite 140
Alpharetta, GA 30005-4468

Phone

(770) 664-1244

Fax

(770) 664-1427

NPI assigned

Feb 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 23, 2016 through Mar 23, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• North Atlanta Aesthetic Dentistry, PC.

  • Dental Clinic/Center
  • Alpharetta, GA
  • NPI 1821496134
  NPD (past) Authorized official

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700859832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4165 OLD MILTON PKWY",
            "address_2": "SUITE 140",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054468",
            "telephone_number": "770-664-1244",
            "fax_number": "770-664-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 OLD MILTON PKWY",
            "address_2": "SUITE 140",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054468",
            "telephone_number": "770-664-1244",
            "fax_number": "770-664-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURLEY",
        "first_name": "LARRY",
        "middle_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "11186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mekhriniso Gulyamova, MS
• Petula Yenter Gunn, NP
• Amita Gupta, PT
• Sunita Gupta, MD
• Juliane Silva Gurgel Costa
• Alberto Perez Gutierrez
• Erica Gutzweiler, OTR/L
• Emily Grace Guynn, MFT
• Amarrah Shatia Guyton, RBT
• Gwinnett OB/GYN Associates of Georgia, LLC

• General Practice Dentistry in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• General Practice Dentistry in Georgia

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.