Active NPI
Charley A Cheney III, DMD
- Dentist
- Newnan, GA
National Provider Identifier
1801998919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN013135
- Practice address
- 2819 Highway 34 E
Newnan, GA 30265-1331 - Phone
- (770) 254-8787
- Fax
- (800) 556-4889
- NPI assigned
- Sep 1, 2006
- Last updated
- Jun 26, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN013135 | GA | Primary |
Addresses
Primary practice location
2819 Highway 34 E
Newnan, GA 30265-1331
Mailing address
PO Box 73434
Newnan, GA 30271-3434
Phone (770) 254-8787
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 |
|---|---|---|---|---|
| I20160711000713 | GA | Order and Referring Only - Oral Surgery | 6901198076 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 3
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.
-
- Preferred Provider Organization
- Newnan, GA
- NPI 1225576986
-
- Dentist
- Newnan, GA
- NPI 1831619642
-
- Dental Clinic/Center
- Newnan, GA
- NPI 1992235121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340668800000",
"number": "1801998919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 73434",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302713434",
"telephone_number": "770-254-8787",
"fax_number": "877-556-4889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2819 HIGHWAY 34 E",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302651331",
"telephone_number": "770-254-8787",
"fax_number": "800-556-4889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENEY",
"first_name": "CHARLEY",
"middle_name": "A",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2012-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN013135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.