Individual provider Active NPI

Eugenia J Jones-Harry, DMD, MAGD

  • General Practice Dentistry
  • Lagrange, GA
National Provider Identifier
1902001084
Registry record updated Dec 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10552 Issued in GA
Practice address
1602 Vernon Rd
Suite 100
Lagrange, GA 30240-4129
Phone
(706) 885-9991
NPI assigned
Jun 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10552 GA Primary

Addresses

Primary practice location

1602 Vernon Rd
Suite 100
Lagrange, GA 30240-4129

Mailing address

134 Windridge
Lagrange, GA 30240-9743
Phone (706) 884-3290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228435200000",
    "number": "1902001084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 WINDRIDGE",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302409743",
            "telephone_number": "706-884-3290",
            "fax_number": "706-884-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 VERNON RD",
            "address_2": "SUITE 100",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404129",
            "telephone_number": "706-885-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-HARRY",
        "first_name": "EUGENIA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD, MAGD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2008-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "10552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

Verify at the official NPI Registry.