DR. JAMES WELTON SHEALY JR JR. (NPI# 1619044724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619044724 |
| Entity Type | Individual |
| Full Name | DR. JAMES WELTON SHEALY JR JR. |
| Credential | DDS |
| Practice Address |
16 Felton Pl # B Cartersville GA 30120-2152 |
| Practice Telephone | 7703823536 |
| Practice Fax Number | 7703821915 |
| Mailing Telephone | 7703823536 |
| Mailing Fax Number | 7703821915 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2019-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
30.025291 | OH | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
12013092A | IN | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
09480 | IA | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN011369 | GA | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
019023521 | IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | AVESIS MEDICAID | 100517 | 01 |
| GA | DORAL MEDICAID | 9181146 | 01 |
| GA | 00746798B | 05 |
| Street Address |
16 FELTON PL # B |
| City | CARTERSVILLE |
| State | GA |
| Zip Code | 30120-2152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659422319 | Peter Arthur Phrydas | Dentist | 16 Felton Pl # B, Cartersville, GA 30120-2152 | 2007-01-16 |
| 1922166164 | Tamara Dunn Russell | Dentist | 16 Felton Pl # B, Cartersville, GA 30120-2152 | 2006-12-04 |
| 1215005376 | Children's Dental Center, PC | Dentist | 16 Felton Pl # B, Cartersville, GA 30120-2152 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357325 | Rhonda Ireland | Pharmacist | 125 Main Street Marketplace, Cartersville, GA 30120 | 2020-05-12 |
| 1538719273 | The Golden Ages Corporoation | Nursing Care | 41 Walden Crossing, Cartrsville, GA 30120 | 2019-09-15 |
| 1932752391 | Jennifer Elaine Mclaurin | Counselor | 911 N. Tennesse Street, Suite 107, Cartersville, GA 30120 | 2019-07-24 |
| 1164989497 | Kayla Elizabeth Hoskins | Occupational Therapist | 7 E Cherokee Ave, Cartersville, GA 30120 | 2019-02-22 |
| 1942785837 | Adriane L Alexander | Social Worker | 24 Meadowbridge Drive, Cartersville, GA 30120 | 2018-09-26 |
| 1306329362 | Ashley Elizabeth Deal | Nurse Practitioner | 958a Joe Frank Harris Parkway, Suite 101, Cartersville, GA 30120 | 2018-09-14 |
| 1376037606 | Samuel Gilreath Tumlin | Dentist | 701 N. Tennessee St., Cartersville, GA 30120 | 2018-06-20 |
| 1437669108 | Deborah Susan Luper | Counselor | 106 Forrest Avenue, A Healing Place, Cartersville, GA 30120 | 2017-10-06 |
| 1750810693 | Debbie Fearon | Registered Nurse | 523 Mountain Chase, Cartersville, GA 30120 | 2017-06-05 |
| 1023486388 | Amanda Stanley | Pharmacist | 1150 West Ave, Cartersville, GA 30120 | 2015-09-03 |
| Find all providers in zip 30120 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134227705 | Paul Dominique | Dentist | 16b Felton Pl, Cartersville, GA 30120-2152 | 2006-09-20 |
| 1871963447 | Children's Dental Center, PC | Dentist | 1010 N Tennessee St, Ste 105, Cartersville, GA 30120-8525 | 2015-09-25 |
| 1932364841 | Allen Robert Hutchins | Dentist | 16b Felton Pl, Cartersville, GA 30120-2152 | 2008-07-21 |
| 1871757526 | Eunis Choi | Dentist | 16b Felton Place, Cartersville, GA 30120 | 2008-07-11 |
| 1659422319 | Peter Arthur Phrydas | Dentist | 16 Felton Pl # B, Cartersville, GA 30120-2152 | 2007-01-16 |
| 1427113521 | Carlla Blanton | Dentist | 16b Felton Pl, Cartersville, GA 30120-2152 | 2006-12-27 |
| 1922166164 | Tamara Dunn Russell | Dentist | 16 Felton Pl # B, Cartersville, GA 30120-2152 | 2006-12-04 |
| 1215005376 | Children's Dental Center, PC | Dentist | 16 Felton Pl # B, Cartersville, GA 30120-2152 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895002 | Ashley Starnesdmd LLC | Dentist | 5482 Chamblee Dunwoody Rd Ste 9, Dunwoody, GA 30338-4142 | 2020-09-14 |
| 1912518531 | Samuel S Kwon - Athens Dmd PC | Dentist | 1795 Resurgence Drive, Suite 101, Watkinsville, GA 30677 | 2020-08-17 |
| 1366060618 | A Dental Home 4 Kidz | Dentist | 155 Carnegie Pl Ste 201, Fayetteville, GA 30214-3981 | 2020-07-13 |
| 1255973566 | Rehoboth Life Care Ministries, Inc | Dentist | 3208 Hwy 41, Byron, Byron, GA 31008 | 2019-10-09 |
| 1629619200 | Peachtree Hills Pediatric Dentistry | Dentist | 2385 Peachtree Rd Ne Ste A2ab, Atlanta, GA 30305-4139 | 2019-10-04 |
| 1871145557 | Dogwood Pediatric Dentistry of Statesboro, LLC | Dentist | 123 Hill Pond Ln, Statesboro, GA 30458-0872 | 2019-07-12 |
| 1952969396 | Ns3 Services, LLC | Dentist | 1039 Grant St Se Ste B11, Atlanta, GA 30315-2050 | 2019-05-31 |
| 1871050872 | Warner Robins Pediatric Dentistry LLC | Dentist | 102 S Houston Rd, Warner Robins, GA 31088-3904 | 2019-02-26 |
| 1730646886 | Smiles for Kids Norcross PC | Dentist | 3953 Holcomb Bridge Rd Ste 100, Peachtree Corners, GA 30092-5201 | 2019-02-25 |
| 1073083127 | Pediatric Dentistry of Central Georgia - Macon LLC | Dentist | 5437 Bowman Rd Ste 300, Macon, GA 31210-6575 | 2018-12-03 |
| Find all providers with the same taxonomy | ||||
| City | CARTERSVILLE |
| Zip Code | 30120 |
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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.