NPIMap

Organization Active NPI

Novus Orthodontics of Georgia LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Newnan, GA
National Provider Identifier
1972108322
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
NOVUS ORTHODONTICS OF GEORGIA LLC
Practice address
15 Ruth Dr
Newnan, GA 30265-2317
Phone
(770) 253-3171
Fax
(770) 253-9892
NPI assigned
Dec 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Authorized official

Name
Jenni Tomlinson
Title
Credentialing Specialist
Phone
(678) 986-7116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

15 Ruth Dr
Newnan, GA 30265-2317

Mailing address

15 Ruth Dr
Newnan, GA 30265-2317
Phone (770) 253-3171

National Provider Directory

National Provider Directory
Tax ID family
Novus Orthodontics of Georgia LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15 Ruth Dr
Newnan, GA 30265
Phone (770) 253-3171

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1972108322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 RUTH DR",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652317",
            "telephone_number": "770-253-3171",
            "fax_number": "770-253-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 RUTH DR",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652317",
            "telephone_number": "770-253-3171",
            "fax_number": "770-253-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVUS ORTHODONTICS OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "TOMLINSON",
        "authorized_official_first_name": "JENNI",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "678-986-7116"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.