Organization Active NPI

Janet Hogan Harrison DDS. P.C.

  • General Practice Dentistry
  • Milledgeville, GA
National Provider Identifier
1962788497
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
581385985 Issued in GA
Legal business name
JANET HOGAN HARRISON DDS. P.C.
Practice address
108 Fieldstone Dr
Milledgeville, GA 31061-7110
Phone
(478) 453-7535
Fax
(478) 453-7536
NPI assigned
Oct 28, 2011
Organization subpart
Yes
Parent organization
JANET HOGAN HARRISON DDS. P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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

Authorized official

Name
Janet H HarrisonNPI 1295733897
Title
President
Phone
(478) 453-7535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 581385985 GA Primary

Addresses

Primary practice location

108 Fieldstone Dr
Milledgeville, GA 31061-7110

Mailing address

108 Fieldstone Dr
Milledgeville, GA 31061-7110
Phone (478) 453-7535

Other identifiers 3

IdentifierTypeStateIssuer
000151126AMedicaidGA
792229OtherUNITED CONCORDIA IDENTIFIER #
9180326OtherGADENTAQUEST ( WELLCARE THIRD PARTY PAYER FOR MEDICAID GEORGIA)

National Provider Directory

National Provider Directory
Part of
Janet Hogan Harrison DDS PC

Locations

108 Fieldstone Dr
Milledgeville, GA 31061
Phone (478) 453-3532

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319760000000",
    "number": "1962788497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 FIELDSTONE DR",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310617110",
            "telephone_number": "478-453-7535",
            "fax_number": "478-453-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 FIELDSTONE DR",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310617110",
            "telephone_number": "478-453-7535",
            "fax_number": "478-453-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANET HOGAN HARRISON DDS. P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JANET HOGAN HARRISON DDS. P.C.",
        "enumeration_date": "2011-10-28",
        "last_updated": "2011-10-28",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-453-7535"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "581385985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000151126A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA IDENTIFIER #",
            "identifier": "792229",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAQUEST ( WELLCARE THIRD PARTY PAYER FOR MEDICAID GEORGIA)",
            "identifier": "9180326",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.