James Rutledge Coleman Jr., DMD, LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN015321 Issued in GA

Practice address

6602 Abercorn St Ste 101
Savannah, GA 31405-5849

Phone

(912) 354-3444

Fax

(912) 264-2409

NPI assigned

Oct 13, 2006

Last updated

Jan 23, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 Feb 23, 2015 through Feb 23, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Morrison Dental Associates PC

  • Dentist
  • Savannah, GA
  • NPI 1184851362
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1730279837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SALTWIND CIR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314113067",
            "telephone_number": "904-386-8216",
            "fax_number": "912-264-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6602 ABERCORN ST STE 101",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055849",
            "telephone_number": "912-354-3444",
            "fax_number": "912-264-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JAMES",
        "middle_name": "RUTLEDGE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD, LLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "DN015321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traci Lynn Cole, BCBA
• Deja Kiyanna Coleman
• Emily Woods Coleman, DMD
• Eowyn Coleman
• Haley M Coleman
• Linda S Coleman, RPH
• Patricia Coleman, LPN
• Shawnta Coleman
• Abigail Breann Coley, PT, DPT
• Keeley Collett, D.C.

• Periodontics in Savannah, GA
• Providers in Savannah, GA by specialty
• Periodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.