COMPASSIONATE MOBILE DENTISTS OF GEORGIA — NPI 1134543515 (Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) in GRAY, GA)

CMS-1500 Box 24J / 33a • NPI

1134543515

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

1223G0001X (CMS C5)

Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)

Box 32 Service Location & ZIP+4

3907 UPPER RIVER RD, GRAY, GA, 31032-3821

✓ 9-Digit EDI 837 ZIP+4 (31032-3821)

Practice Phone & Referral Fax

(478) 952-7522

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1134543515 (COMPASSIONATE MOBILE DENTISTS OF GEORGIA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1134543515` (NPI-2 Organization / Facility)
Provider / Legal Name	COMPASSIONATE MOBILE DENTISTS OF GEORGIA
Plain-English Specialty	Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) NUCC Code: `1223G0001X` (Dentist, General Practice)
Certifying / Licensing Body	American Dental Association (ADA) / State Board of Dental Examiners
Practice Location Address	3907 UPPER RIVER RD, GRAY, GA, 31032-3821
Practice Telephone / Fax	Tel: (478) 952-7522
Administrative Mailing Address	PO BOX 27328, MACON, GA, 31221-7328
Enumeration & Last Sync	Enumerated: 2014-02-06 \| CMS Record Updated: 2014-02-06
Authorized Official	MARGARET MOORE (CMO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3907 UPPER RIVER RD, GRAY, GA, 31032-3821

🗺️ Open in Google Maps 🏥 More Providers in GRAY

🔒 Are you COMPASSIONATE MOBILE DENTISTS OF GEORGIA? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (1223G0001X)

What Does Taxonomy Code 1223G0001X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1223G0001X translates to:
"Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code C5 (Dentist)
Certifying / Accrediting Authority: American Dental Association (ADA) / State Board of Dental Examiners
Clinical Scope: Routine 6-month dental checkups, toothache, dental abscess, bleeding gums (periodontitis), or wisdom tooth extraction.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (COMPASSIONATE MOBILE DENTISTS OF GEORGIA)

Typical CPT / Diagnostic Procedures:

Comprehensive Oral Evaluation, Digital Dental Radiographs & Prophylaxis
Restorative Composite Fillings, Crowns, Endodontic Root Canal & Extractions

Common Therapeutic Classes:

Amoxicillin, Metronidazole & Clindamycin (Odontogenic Infections)
Chlorhexidine Gluconate 0.12% Oral Rinse & High-Fluoride Varnish

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`1223G0001X` — Dentist, General Practice Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)	State: GA \| License: `DN013080` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

COMPASSIONATE MOBILE DENTISTS OF GEORGIA (NPI #1134543515)