Ga Southern Dental PPO
NPI 1215891049ActiveOrganization· Dentist· Columbus, GA
Dentist in Columbus, Georgia, registered in NPPES in December 2025, part of Ga Southern Dental PPO. The authorized official on file is Erika Menjivar, Credentialing Manager.
Overview
| NPI | 1215891049 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Ga Southern Dental PPO |
| NPI issued | Dec 15, 2025 |
| Last updated in NPPES | Dec 16, 2025 |
| Certified by provider | Dec 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dentist providers in Columbus
- 1861537912
- 1609283522
- 1871678219
- 1750073615
- 1801067525
- 1568536522
- 1013379163
- 1437840097
- 1477859387
- 1487335048
- 1770517708
- 1275940215