NPIMap

Organization Active NPI

A. Drew Ferguson IV DMD PC

  • General Practice Dentistry
  • West Point, GA
National Provider Identifier
1982831012
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11084 Issued in GA
Legal business name
A. DREW FERGUSON IV DMD PC
Practice address
704 Avenue C
West Point, GA 31833-1639
Phone
(706) 643-3294
NPI assigned
Jun 16, 2009
Last updated
Jun 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Authorized official

Name
Dr. A. Drew Ferguson IV, DMDNPI 1134288608
Title
Owner
Phone
(706) 643-3294

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 Dentistry 1223G0001X 11084 GA Primary

Addresses

Primary practice location

704 Avenue C
West Point, GA 31833-1639

Mailing address

704 Avenue C
West Point, GA 31833-1639
Phone (706) 643-3294

National Provider Directory

National Provider Directory

Locations

704 Avenue C
West Point, GA 31833
Phone (706) 643-3294

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1982831012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 AVENUE C",
            "city": "WEST POINT",
            "state": "GA",
            "postal_code": "318331639",
            "telephone_number": "706-643-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 AVENUE C",
            "city": "WEST POINT",
            "state": "GA",
            "postal_code": "318331639",
            "telephone_number": "706-643-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A. DREW FERGUSON IV DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "A.",
        "authorized_official_middle_name": "DREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-643-3294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "11084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Point, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.