C. Ronnie Bozeman, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8751 Issued in GA

Practice address

308 S Dawson St
Thomasville, GA 31792-5509

Phone

(229) 228-4211

Fax

(229) 228-4153

NPI assigned

Apr 24, 2007

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

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982823738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2506",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317992506",
            "telephone_number": "229-228-4211",
            "fax_number": "229-228-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 S DAWSON ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925509",
            "telephone_number": "229-228-4211",
            "fax_number": "229-228-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZEMAN",
        "first_name": "C.",
        "middle_name": "RONNIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "8751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarthak Bothra, MD
• Sarah Hardy Bouck, MD
• Jacob Reed Bowen, OD
• Sabrina Valeria Boykins-Everett, BS, MS, EDD
• Adam Stuart Bozeman, D.M.D,
• Tracy Brack, LPC
• Robert Lee Bradford, P.A.-C
• Kaitlyn Bradley, PTGEORGIA
• Curtis Bradshaw
• Cordell Bragg, MD

• General Practice Dentistry in Thomasville, GA
• Providers in Thomasville, 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.