Matthew Reid Adams, DMD
Individual provider Active NPI Dentist · Columbus, GA
NPI 1811001092 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1811001092
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN12383 (GA)
- Practice address
- 5605 Princeton Ave
Ste B
Columbus, GA 31904-9069 - Phone
- (706) 323-8811
- Fax
- (706) 323-8824
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN12383 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ga Southern Dental PPO | Dentist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN12383 | GA | Yes |
| General Practice Dentistry | 1223G0001X | DN12383 | GA |
Addresses
Primary practice location
5605 Princeton Ave
Ste B
Columbus, GA 31904-9069
Mailing address
5605 Princeton Ave
Ste B
Columbus, GA 31904-9069
Phone (706) 323-8811
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.