Maria Walsh

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

012740 Issued in GA

Practice address

42 Main St Ste 3B
Senoia, GA 30276-1889

Phone

(770) 599-4441

Fax

(770) 599-4441

NPI assigned

Jan 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Senoia Family Dentistry, LLC

  • General Practice Dentistry
  • Senoia, GA
  • NPI 1861736514
  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1871644013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 MAIN ST STE 3B",
            "city": "SENOIA",
            "state": "GA",
            "postal_code": "302761889",
            "telephone_number": "770-599-4441",
            "fax_number": "770-599-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 MAIN ST STE 3B",
            "city": "SENOIA",
            "state": "GA",
            "postal_code": "302761889",
            "telephone_number": "770-599-4441",
            "fax_number": "770-599-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "012740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Lyn Taylor, RN
• Priscilla Jane Thompson
• Corey Ann Tolbert, RDN, LD
• Total Renal Care Inc
• Unity Hearts of Hope Clinic LLC
• Monica Olenna Watts, MD
• Wellstreet of Georgia PC

• General Practice Dentistry in Senoia, GA
• Providers in Senoia, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.