Individual provider Active NPI

James Cameron Garvin, D.M.D.

  • General Practice Dentistry
  • Macon, GA
National Provider Identifier
1710198072
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN013517 Issued in GA
Practice address
2953 Vineville Ave
Macon, GA 31204-2833
Phone
(478) 745-2002
Fax
(478) 254-3424
NPI assigned
May 25, 2007
Last updated
Dec 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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 DN013517 GA Primary

Addresses

Primary practice location

2953 Vineville Ave
Macon, GA 31204-2833

Mailing address

2953 Vineville Ave
Macon, GA 31204-2833
Phone (478) 745-2002

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
I20151231000542 GA Order and Referring Only - DentistPractitioner - Dentist 1355643768

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1710198072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2953 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042833",
            "telephone_number": "478-745-2002",
            "fax_number": "478-254-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2953 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042833",
            "telephone_number": "478-745-2002",
            "fax_number": "478-254-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARVIN",
        "first_name": "JAMES",
        "middle_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.