ALLRED DENTAL GROUP LLC (NPI# 1396882783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396882783 |
| Entity Type | Organization |
| Organization Name | ALLRED DENTAL GROUP LLC |
| Other Organization Name | ALLRED FAMILY DENTISTRY |
| Practice Address |
743 S 8th St Griffin GA 30224-4818 |
| Practice Telephone | 7702286101 |
| Practice Fax Number | 7702286170 |
| Mailing Telephone | 7702286101 |
| Mailing Fax Number | 7702286170 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2016-09-16 |
| Authorized Official Name | SHELLI ANNE CARROLL (OFFICE MANAGER) |
| Authorized Official Telephone | 7067418433 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 302R00000X | Health Maintenance Organization | 010469 | GA | Managed Care Organizations |
| N | 302R00000X | Health Maintenance Organization | 014094 | GA | Managed Care Organizations |
| N | 302R00000X | Health Maintenance Organization | 014960 | GA | Managed Care Organizations |
| Y | 302R00000X | Health Maintenance Organization | 014067 | GA | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00727097A | 05 | |
| GA | 877225484A | 05 | |
| GA | 003162738C | 05 | |
| GA | 340647560A | 05 |
| Other Name | Type Code |
|---|---|
| Allred Family Dentistry | Doing Business As Name - Organization |
| Street Address |
743 S 8TH ST |
| City | GRIFFIN |
| State | GA |
| Zip Code | 30224-4818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730641473 | Allred Dentistry Griffin | Clinic/Center | 743 S 8th St, Griffin, GA 30224-4818 | 2019-04-02 |
| 1033590534 | Jason Allred | Dentist | 743 S 8th St, Griffin, GA 30224-4818 | 2015-06-11 |
| 1003296633 | Allred Family Dentistry | Clinic/Center | 743 S 8th St, Griffin, GA 30224-4818 | 2015-06-09 |
| 1063732691 | Marc Brandon Allred | Dentist | 743 S 8th St, Griffin, GA 30224-4818 | 2010-06-05 |
| 1376758318 | Robert Benjamin Allred | Marriage & Family Therapist | 743 S 8th St, Griffin, GA 30224-4818 | 2007-05-12 |
| 1447361985 | Robert N Allred | Dentist | 743 S 8th St, Griffin, GA 30224-4818 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346888971 | Latamika Renee Williams | Counselor | 1710 Ga-16 West, #6, Griffin, GA 30224 | 2019-12-13 |
| 1063062651 | Dominique S Paul-thompson | Contractor | 112 Deercreek Parkway, Griffin, GA 30224 | 2019-09-16 |
| 1497303531 | Xiaohui Zhang Brotzge | Physician Assistant | 601 S 8th Street, Griffin, GA 30224 | 2019-09-02 |
| 1548812282 | Andrew Dennis Nesmith | Registered Nurse | 601 South 8th St, Emergency Room, Griffin, GA 30224 | 2019-07-12 |
| 1073009122 | Alicia Skye Ledford | Nurse Practitioner | 619 S 8th St., Suite 200, Griffin, GA 30224 | 2018-07-02 |
| 1649787102 | Judith Fuajong Ngulefac | Nurse Practitioner | 1705 Williamson Rd, Griffin, GA 30224 | 2018-01-05 |
| 1699297077 | Amanda Norman | Speech-Language Pathologist | 106 Garnet Ln, Griffin, GA 30224 | 2017-07-07 |
| 1306214655 | Ruchi P Gandhi | Optometrist | 646 8th Street, Griffin, GA 30224 | 2015-09-03 |
| 1528473881 | Nnenna Ezeilo | Otolaryngology | 619 S 8th St Ste 304, Griffin, GA 30224 | 2014-06-25 |
| 1437436094 | C. B. Reddy Md PC | Preferred Provider Organization | 610 S 8th Street, Suite F, Griffin, GA 30224 | 2011-11-10 |
| Find all providers in zip 30224 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245543123 | Chance | Health Maintenance Organization | 1645 N 2nd Street Ext, Griffin, GA 30223-1638 | 2010-07-20 |
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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.