Organization Active NPI

Varnell Gaines DMD PC

  • General Practice Dentistry
  • Augusta, GA
National Provider Identifier
1760668404
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN008943 Issued in GA
Legal business name
VARNELL GAINES DMD PC
Practice address
1930 Highland Ave Ste C
Augusta, GA 30904-7801
Phone
(706) 738-0482
NPI assigned
Jan 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Dr. Varnell Gaines Sr.NPI 1447319942
Title
Dentist
Phone
(706) 738-0482

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN008943 GA Primary

Addresses

Primary practice location

1930 Highland Ave Ste C
Augusta, GA 30904-7801

Mailing address

1708 Flagler Rd
Augusta, GA 30909-9573
Phone (706) 860-9454

Other identifiers 1

IdentifierTypeStateIssuer
ZAG979MedicaidSC

National Provider Directory

National Provider Directory

Locations

1930 Highland Ave
Ste C
Augusta, GA 30904
Phone (706) 738-0482

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1760668404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 FLAGLER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309099573",
            "telephone_number": "706-860-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 HIGHLAND AVE STE C",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309047801",
            "telephone_number": "706-738-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARNELL GAINES DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "VARNELL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "706-738-0482",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN008943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZAG979",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.