JIMMY W. ARNOLD (NPI# 1194136929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194136929 |
| Entity Type | Individual |
| Full Name | JIMMY W. ARNOLD |
| Credential | D.M.D. |
| Practice Address |
152 N Crest Blvd Ste A Macon GA 31210-1847 |
| Practice Telephone | 4787579620 |
| Mailing Telephone | 4787579620 |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
011189 | GA | Dental Providers |
| Street Address |
152 N CREST BLVD STE A |
| City | MACON |
| State | GA |
| Zip Code | 31210-1847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831328327 | Aurelia Vanderburg | Dentist | 205 Tom Hill Sr Blvd, Suite B, Macon, GA 31210-1817 | 2009-07-07 |
| 1497962997 | Jimmy W Arnold, Dmd | Dentist | 152 N Crest Blvd, Suite A, Macon, GA 31210-1846 | 2007-05-16 |
| 1730362237 | Amy Z Lee | Dentist | 152 N Crest Blvd, Suite B, Macon, GA 31210-1846 | 2007-12-07 |
| 1326193368 | Pinkney Henry Gilchrist Iv | Dentist | 2971 Vineville Ave, Macon, GA 31204-2833 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764180 | John O. Green, II, Dds, PC | Dentist | 6126 Prestley Mill Rd Ste J, Douglasville, GA 30134-5624 | 2020-09-10 |
| 1104434232 | Conyers Endodontic Center PC | Dentist | 1920 Highway 20 Se Ste A, Conyers, GA 30013-2048 | 2020-07-15 |
| 1790288678 | Crabapple Endodontics | Dentist | 12385 Crabapple Rd Ste 150, Alpharetta, GA 30004-6357 | 2018-03-16 |
| 1326552522 | Lucas Blaine Connor | Dentist | 3625 Braselton Hwy Ste 101, Dacula, GA 30019-4696 | 2017-11-27 |
| 1710382007 | Golden Isles Endodontics, LLC | Dentist | 1804 Frederica Rd Ste B, Saint Simons Island, GA 31522-2044 | 2014-10-29 |
| 1346644176 | Liberty Trails Endodontics, LLC | Dentist | 111 E Mills Ave, Hinesville, GA 31313-2616 | 2014-10-22 |
| 1629418371 | Young Okeke | Dentist | 6595 Roswell Rd Ste G-3040, Atlanta, GA 30328-3152 | 2013-06-26 |
| 1720342694 | Lake Oconee Endodontics, LLC | Dentist | 112 Harmony Crossing, Suite 1, Eatonton, GA 31024-9536 | 2012-06-26 |
| 1275891541 | Alison Stpaul | Dentist | 1705 Ga-20, Suite 200, Mcdonough, GA 30253 | 2012-04-24 |
| 1780942144 | Marcus Robert Miller | Dentist | 2151 Fountain Dr Ste 206, Snellville, GA 30078-6753 | 2012-04-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.