Organization Active NPI

Refresh Me Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Lagrange, GA
National Provider Identifier
1861933582
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
GAD009828 Issued in GA
Legal business name
REFRESH ME INC
Practice address
307 Church St
Lagrange, GA 30240-2700
Phone
(706) 884-3263
NPI assigned
Mar 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Authorized official

Name
Charles Pitts
Title
Owner
Phone
(706) 884-3263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X GAD009828 GA Primary

Addresses

Primary practice location

307 Church St
Lagrange, GA 30240-2700

Mailing address

307 Church St
Lagrange, GA 30240-2700

National Provider Directory

National Provider Directory

Locations

307 Church St
Lagrange, GA 30240
Phone (706) 882-0591

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1861933582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 CHURCH ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302402700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 CHURCH ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302402700",
            "telephone_number": "706-884-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFRESH ME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-884-3263"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "GAD009828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.