| NPI | 1033244124 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2007-02-22 |
| Last Updated | 2022-03-11 |
| Mailing Address | 3300 Memorial Dr, Suite D-3 Decatur, GA 30032-2700 United States Phone: (404) 289-3060 | Fax: (404) 288-6080 📍 View Map |
| Primary Practice Address | 3300 Memorial Dr, Suite D-3 Decatur, GA 30032-2700 United States Phone: (404) 289-3060 | Fax: (404) 288-6080 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | GA | 000310318C | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 1223G0001X – Dentist, General Practice | GA | 0010117 |
| Yes | 1223X0008X – Dentist, Oral and Maxillofacial Radiology | GA | 010117 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1033244124
Cassandra Griffith Brackett D.D.S is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1033244124. The primary specialty listed is Dentist, Oral and Maxillofacial Radiology. The provider is located in Decatur, GA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-02-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1033244124?
NPI 1033244124 belongs to Cassandra Griffith Brackett D.D.S, a Dentist, Oral and Maxillofacial Radiology in Decatur, GA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1033244124 active?
The current status of NPI 1033244124 in the NPPES registry is Active. The record was last updated on 2022-03-11.
What specialty is NPI 1033244124?
NPI 1033244124 is classified under the taxonomy Dentist, Oral and Maxillofacial Radiology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1033244124?
You can verify NPI 1033244124 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1033244124?
The primary practice address on file for NPI 1033244124 is 3300 Memorial Dr, Decatur, GA 30032-2700. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1033244124 issued?
NPI 1033244124 was first issued (enumerated) on 2007-02-22. The NPPES record was last updated on 2022-03-11.
Practice Location Map
Cassandra Griffith Brackett is located at 3300 Memorial Dr, Decatur, GA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Cassandra Griffith Brackett. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1033244124. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dentist, General Practice | 0010117 | GA |
| Dentist, Oral and Maxillofacial Radiology | 010117 | GA |