Robert Augustus Shiflett, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

011116 Issued in GA

Practice address

221 N 4TH Ave
Chatsworth, GA 30705-2420

Phone

(706) 695-8318

Fax

(706) 695-7857

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

Yes

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chatsworth Family Dentistry, PC

  • Dentist
  • Chatsworth, GA
  • NPI 1609048610
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962422634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1096",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307051096",
            "telephone_number": "706-695-8318",
            "fax_number": "706-695-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N 4TH AVE",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307052420",
            "telephone_number": "706-695-8318",
            "fax_number": "706-695-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFLETT",
        "first_name": "ROBERT",
        "middle_name": "AUGUSTUS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "011116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert T. Cook MD PC
• Michael C Rochelle, PT
• Robin Roe, FNP-BC
• Jennifer Nicole Romine, CNM, WHNP
• Safeguard Emergency Physicians, LLC
• Kirsten Tamara Shoemaker, BSW
• Scott Anthony Sides, NNP
• Kristen Slade, FNP
• Carley McCall Smith, PA
• Jennifer Hair Smith

• General Practice Dentistry in Chatsworth, GA
• Providers in Chatsworth, 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 Jul 8, 2007; 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.