Active NPI
Misha Felita Lockey, D.D.S
- General Practice Dentistry
- Hinesville, GA
National Provider Identifier
1780932624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN014988
- 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, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230718001243 | GA | Order and Referring Only - Dentist | 7517327851 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN014988 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Coweta Dentistry Associates
- General Practice Dentistry
- Newnan, GA
- NPI 1164064481
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.