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NPI · 1417112533 · NPPES-sourced

Port City Family Dental Associates

ActiveDentist
NPI Number
1417112533
Type 2 · Organisation
Taxonomy Code
122300000X
Contact
(229) 246-5081
License GA · 9222
Last Updated
Enumerated
Primary practice addressGA · 39819-4063
709 E Shotwell StBainbridge, GA 39819-4063
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About this NPIWhat this record shows.

NPI 1417112533 is registered to Port City Family Dental Associates, a healthcare organisation classified as "Dentist" and located at 709 E Shotwell St in Bainbridge, Georgia. The organisation's authorised official is Suzi Rush-Kraft. The organisation has been enumerated in the NPI registry since 2008.

Provider type
Organisation (Type 2)
Status
Active
Enumerated

Beyond the registryWhat this record adds.

This record carries 2 secondary identifiers beyond the base NPI: Medicaid and other payer cross-references used by billers and credentialers, which the standard CMS NPPES lookup does not surface. Within the directory it is one of 2,664 Dentist providers on file in Georgia.

Source: CMS NPPES and PECOS public files. snapshot, refreshed monthly.

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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Port City Family Dental Associates accepts. To confirm in-network status with your specific health plan, contact Port City Family Dental Associates directly at (229) 246-5081.

Frequently asked

Yes. NPI 1417112533 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Dentist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (229) 246-5081.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Port City Family Dental Associates is a Type-2 organisational NPI.

As of the latest monthly CMS NPPES snapshot, 2,664 Dentist providers are registered in Georgia, and Port City Family Dental Associates is one of them. The figure refreshes each month from the federal source.

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Quick facts

Provider typeOrganisation
Taxonomy122300000X
Last updated
Enumerated
StatusActive
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Same specialtyOther Dentist providers in Georgia.

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