Individual provider Active NPI

Jamie Grant Austin, D.M.D

  • General Practice Dentistry
  • Roswell, GA
National Provider Identifier
1801246525
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DNO15182 Issued in GA
Practice address
11775 Pointe PL Ste 101
Roswell, GA 30076-4652
Phone
(770) 475-3600
Fax
(770) 475-8666
NPI assigned
Jun 14, 2016
Last updated
Jun 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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 DNO15182 GA Primary

Addresses

Primary practice location

11775 Pointe PL Ste 101
Roswell, GA 30076-4652

Mailing address

11775 Pointe PL Ste 101
Roswell, GA 30076-4652
Phone (770) 475-3600

Other identifiers 1

IdentifierTypeStateIssuer
DN015182OtherGAGEORGIA BOARD OF DENTISTRY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DNO15182GAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1801246525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11775 POINTE PL STE 101",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764652",
            "telephone_number": "770-475-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11775 POINTE PL STE 101",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764652",
            "telephone_number": "770-475-3600",
            "fax_number": "770-475-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "JAMIE",
        "middle_name": "GRANT",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DNO15182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA BOARD OF DENTISTRY",
            "identifier": "DN015182",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.