Active NPI
Godlive Athis
- General Practice Dentistry
- Macon, GA
National Provider Identifier
1922998236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN123932
- Practice address
- 5005 Riverside Dr Ste a
Macon, GA 31210-1380 - Phone
- (478) 405-0664
- NPI assigned
- Jul 8, 2025
- Last updated
- Aug 19, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN123932 | GA | Primary |
Addresses
Primary practice location
5005 Riverside Dr Ste a
Macon, GA 31210-1380
Mailing address
110 Peach Blossom Road # 140
Bonaire, GA 31005
Phone (786) 541-4431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN123932 | GA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755561600000",
"number": "1922998236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 PEACH BLOSSOM ROAD # 140",
"city": "BONAIRE",
"state": "GA",
"postal_code": "31005",
"telephone_number": "786-541-4431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 RIVERSIDE DR STE A",
"city": "MACON",
"state": "GA",
"postal_code": "312101380",
"telephone_number": "478-405-0664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATHIS",
"first_name": "GODLIVE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-08",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN123932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.