Individual provider Active NPI

Charles J Scherer III

  • Dentist
  • Madison, GA
National Provider Identifier
1851550024
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN012929 Issued in GA
Practice address
2151 Eatonton Hwy
BLDG D
Madison, GA 30650-5088
Phone
(706) 752-1910
NPI assigned
Jun 3, 2008
Last updated
Jun 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN012929 GA Primary

Addresses

Primary practice location

2151 Eatonton Hwy
BLDG D
Madison, GA 30650-5088

Mailing address

2151 Eatonton Hwy
BLDG D
Madison, GA 30650-5088
Phone (706) 752-1910

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150617002174 GA Order and Referring Only - Other (Non-Physician) 8628389632

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN012929GAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1851550024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 EATONTON HWY",
            "address_2": "BLDG D",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306505088",
            "telephone_number": "706-752-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 EATONTON HWY",
            "address_2": "BLDG D",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306505088",
            "telephone_number": "706-752-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHERER III",
        "first_name": "CHARLES",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN012929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, GA

Sources for this page

Verify at the official NPI Registry.