Individual provider Active NPI

Misha Felita Lockey, D.D.S

  • General Practice Dentistry
  • Hinesville, GA
National Provider Identifier
1780932624
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN014988 Issued in GA
Practice address
124 W ML King Jr Dr
Hinesville, GA 31313-3226
Phone
(912) 876-2155
NPI assigned
Aug 27, 2012
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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 DN014988 GA Primary

Addresses

Primary practice location

124 W ML King Jr Dr
Hinesville, GA 31313-3226

Mailing address

124 W ML King Jr Dr
Hinesville, GA 31313-3226
Phone (912) 876-2155

Other practice location 1

2d DENBN/NDC, 315 McHugh Blvd, PSC 20130
Commanding Officer
Camp Lejeune, NC 28542-0130
Phone (910) 451-2208 ext. 203

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
I20230718001243 GA Order and Referring Only - DentistPractitioner - Dentist 7517327851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN014988GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Coweta Dentistry Sda PC General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1780932624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W ML KING JR DR",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313133226",
            "telephone_number": "912-876-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W ML KING JR DR",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313133226",
            "telephone_number": "912-876-2155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2d DENBN/NDC, 315 McHugh Blvd, PSC 20130",
            "address_2": "Commanding Officer",
            "address_purpose": "LOCATION",
            "city": "Camp Lejeune",
            "state": "NC",
            "postal_code": "285420130",
            "country_code": "US",
            "telephone_number": "910-451-2208 x203",
            "fax_number": "910-451-8036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCKEY",
        "first_name": "MISHA",
        "middle_name": "FELITA",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinesville, GA

Sources for this page

Verify at the official NPI Registry.