Georgia Dental Professionals, PC
NPI 1679167290ActiveOrganization· Dentist, General Practice· Evans, GA
Dentist, General Practice in Evans, Georgia, registered in NPPES in February 2021, part of Georgia Dental Professionals, PC. The authorized official on file is Celia Hayes, Credentialing Coordinator.
Overview
| NPI | 1679167290 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Georgia Dental Professionals, PC |
| NPI issued | Feb 24, 2021 |
| Last updated in NPPES | Feb 24, 2021 |
| Certified by provider | Feb 5, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
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