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CLASSIC CITY ORTHODONTICS NPI 1609249903


NPI Information

NPI: 1609249903
Provider Name: CLASSIC CITY ORTHODONTICS
Classification: Exclusive Provider Organization - 302F00000X
Entity Type: Organization
Address:
600 OGLETHORPE AVE
ATHENS, GA
ZIP 30606
Phone: (706) 549-4748
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CLASSIC CITY ORTHODONTICS is an exclusive provider organization in Athens, GA. The provider is (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. CLASSIC CITY ORTHODONTICS NPI is 1609249903. The provider is registered as an organization entity type.

The provider's business location address is:

600 OGLETHORPE AVE
ATHENS, GA
ZIP 30606-263
Phone: (706) 549-4748
Fax: (706) 705-1650

The provider's authorized official is Carla Robin Oliver .
The authorized official title is Insurance Coordinator and has the following contact phone number (706) 549-4748.

The enumeration date for this NPI number is 11/9/2015 and was last updated on 11/9/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1302F00000XExclusive Provider Organization012101GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11669591947OTHERGEORGIANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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