Sydney Bush McNeely, DMD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

DN122347 Issued in GA

Practice address

1430 John Wesley Gilbert Drive
Augusta, GA 30912-1514

Phone

(706) 721-2371

NPI assigned

Jun 24, 2021

Last updated

Jun 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Au Dental Associates

  • Dentist
  • Augusta, GA
  • NPI 1457541781
  NPD
• Southland Children's Dentistry LLC

  • Dental Clinic/Center
  • Albany, GA
  • NPI 1356793533
  NPD (past)

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1871163618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 COMANCHE RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309043405",
            "telephone_number": "229-881-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 JOHN WESLEY GILBERT DRIVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309121514",
            "telephone_number": "706-721-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEELY",
        "first_name": "SYDNEY",
        "middle_name": "BUSH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122347",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": "DN122347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina McNair
• Vashawn Antwon McNair
• John Norwood McNally
• Valerie A McNary, CTRS
• Jennifer Angela McNear, M.D.
• Catherine McNew, NP
• Franklin McPhail Jr., M.D.
• Nanci Platt McPhail, MD
• Kenneth Francis McPherson, PHD
• Sarah Lynn McPherson, CRNA

• Student in an Organized Health Care Education/Training Program in Augusta, GA
• Providers in Augusta, GA by specialty
• Student in an Organized Health Care Education/Training Program in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.