Metro Decatur Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

DN013291 Issued in GA

Legal business name

METRO DECATUR DENTAL GROUP

Practice address

4570 Memorial Dr
Decatur, GA 30032-1447

Phone

(404) 292-3133

Fax

(404) 935-0905

NPI assigned

Sep 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gary Simms, D.M.D.NPI 1659435030

Title

Dentist

Phone

(404) 292-3133

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary A Simms, D.M.D.

  • Dentist
  • Decatur, GA
  • NPI 1659435030
  NPD (past) Authorized official

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

{
    "created_epoch": "1221264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221264000000",
    "number": "1710136866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4570 MEMORIAL DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321447",
            "telephone_number": "404-292-3133",
            "fax_number": "404-935-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 MEMORIAL DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321447",
            "telephone_number": "404-292-3133",
            "fax_number": "404-935-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO DECATUR DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-13",
        "last_updated": "2008-09-13",
        "status": "A",
        "authorized_official_last_name": "SIMMS",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "404-292-3133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "694565025A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Folasade Merritt, MD
• Lee Merritt Jr., LMSW
• Morse Calvin Merriwether III, COTA/L
• Annemarie Messerschmidt, LCSW
• Revenel Revert Metayer
• Metro Medical Associates of Decatur, LLC
• Metro Vascular, P.C.
• Metro Women's Health Specialist, LLC
• Metropolitan Atlanta OB/GYN
• Samantha Rose Metzler

• Dentist in Decatur, GA
• Providers in Decatur, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2008; 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.