Ira Brinson Guy, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

GA 8766 Issued in GA

Practice address

1289 Cedar Shoals Dr
Athens, GA 30605-3509

Phone

(706) 353-7018

NPI assigned

Aug 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831108737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 CEDAR SHOALS DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306053509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1289 CEDAR SHOALS DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306053509",
            "telephone_number": "706-353-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUY",
        "first_name": "IRA",
        "middle_name": "BRINSON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "GA 8766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00138003B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "V08766",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Michael Guthas, LPC
• Carlton Guthrie, CRNA
• Hannah Guthrie
• Larry Dewain Guthrie Jr., RPH, CDM
• Emre Guvenli, MD
• Simon Vincenzo Guzman, LDO
• James Haburay, MFT
• Hadley White, LCSW, LLC
• Angela Nutt Hahn, PSY.D.
• Mary Jenna Hails

• Dentist in Athens, GA
• Providers in Athens, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.