FABULOUS SMILES OF ATLANTA LLC
NPI 1962660555
Preferred Provider Organization in Atlanta, GA

NPI Status: Active since May 30, 2008

Contact Information

1188 RALPH DAVID ABERNATHY BLVD SW
SUITE 101
ATLANTA, GA
ZIP 30310
Phone: (404) 758-0770

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  • Organization
  • Preferred Provider Organization
  • Accepts Insurance

About FABULOUS SMILES OF ATLANTA LLC

This page provides the complete NPI Profile along with additional information for Fabulous Smiles Of Atlanta Llc, a provider established in Atlanta, Georgia operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1962660555 assigned on May 2008. The practitioner's primary taxonomy code is 305R00000X with license number 011973 (GA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. Danielle Denise Greene Dds (President)

NPI
1962660555
Provider Name
FABULOUS SMILES OF ATLANTA LLC
Entity Type
Organization
Location Address
1188 RALPH DAVID ABERNATHY BLVD SW SUITE 101 ATLANTA, GA 30310
Location Phone
(404) 758-0770
Mailing Address
1188 RALPH DAVID ABERNATHY BLVD SW SUITE 101 ATLANTA, GA 30310
Mailing Phone
(404) 758-0770
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-30-2008
Last Update Date
05-30-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
011973
License State
GA
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Complete Silver with Atrium Health - HMO
  • Complete Silver with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Illinois - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Tennessee - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO
  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DANIELLE DENISE GREENE DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(404) 758-0770

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00814965CMEDICAID (05)GA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1962660555
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291221260510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 1 + 2 + 6 + 0 + 5 + 1 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1962660555 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1679889737DR. ERIC GERARD LAWTON JR. D.D.S.
Individual
Dentist1188 RALPH DAVID ABERNATHY BLVD SW #101
ATLANTA, GA 30310
(404) 758-0770
1467699629UNIVERSITY VISION CENTER LLC
Organization
Optometrist1188 RALPH DAVID ABERNATHY BLVD SW SUITE 110
ATLANTA, GA 30310
(404) 343-4480
1336234129DR. DANIELLE GREENE D.D.S
Individual
Dentist (General Practice)1188 RALPH DAVID ABERNATHY BLVD SW SUITE 101
ATLANTA, GA 30310
(404) 758-0770
1548324361ALAN K. CU CHIAM MDPC
Organization
Clinic/Center1188 RALPH DAVID ABERNATHY BLVD SW
ATLANTA, GA 30310
(404) 755-8996
1215672555HEALTH EDUCATION ASSESSMENT AND LEADERSHIP INC
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))1188 RALPH DAVID ABERNATHY BLVD SW
ATLANTA, GA 30310
(404) 564-7749
1689459919 KENDRA WHITE HYGENTIST
Individual
Dental Hygienist1188 RALPH DAVID ABERNATHY BLVD SW
ATLANTA, GA 30310
(404) 564-7749
1467239061 JACQUELINE HOLLEY
Individual
Dental Hygienist1188 RALPH DAVID ABERNATHY BLVD SW
ATLANTA, GA 30310
(404) 564-7749

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962660555, enumerated in the NPI registry as an "organization" on May 30, 2008

The provider is located at 1188 Ralph David Abernathy Blvd Sw Suite 101 Atlanta, Ga 30310 and the phone number is (404) 758-0770

This medical organization specializes in Preferred Provider Organization with taxonomy code 305R00000X

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 30, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.