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DR. LOGAN NALLEY JR. D.M.D.
NPI 1235261272
Dentist - Prosthodontics in Augusta, GA

Active since March 12, 2007PECOS Enrolled
3643 WALTON WAY EXT, AUGUSTA, GA 30909(706) 733-8641(706) 733-8615 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Logan Nalley Jr. D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LOGAN NALLEY JR. D.M.D. (NPI 1235261272) is an individual prosthodontics provider in Augusta, Georgia, licensed in Georgia (8956) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235261272
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameDR. LOGAN NALLEY JR.Credential: D.M.D.
Location Address3643 WALTON WAY EXTAugusta, GA 30909-4507
Mailing Address3643 Walton Way ExtAugusta, GA 30909-4507 · (706) 733-8641 · Fax (706) 733-8615
Phone(706) 733-8641
Fax(706) 733-8615
Sole ProprietorYes
Enumeration DateMarch 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1235261272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
Licenses✔ Licensed in GA · 8956✔ Licensed in SC · 2237
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
3643 WALTON WAY EXT, Augusta, GA 30909
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Logan Nalley Jr. D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30909 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LOGAN NALLEY III DMD
Dentist (General Practice)
3643 WALTON WAY EXT, BLDG. 1
AUGUSTA, GA 30909
Richmond County (706) 733-8641
HILLARY HERRING M.ED.
Counselor (Professional)
3643 WALTON WAY EXT, BUILDING 4
AUGUSTA, GA 30909
Richmond County (706) 364-1404
JEANNE MARIE ROBENOLT
Registered Nurse
3643 WALTON WAY EXT, BUILDING 4
AUGUSTA, GA 30909
Richmond County (706) 364-1404
REGINALD ULCENA BS
Counselor (Mental Health)
3643 WALTON WAY EXT, BUILDING 4
AUGUSTA, GA 30909
Richmond County (706) 364-1404
CYNDI S TAYLOR LPC
Counselor (Professional)
3643 WALTON WAY EXT
AUGUSTA, GA 30909
Richmond County (706) 364-1404
GEORGIA DENTAL ALLIANCE OF AUGUSTA
Dentist (General Practice)
3643 WALTON WAY EXT
AUGUSTA, GA 30909
Richmond County (404) 410-1340
DR. AUBREY LEE MOORE III PH.D.
Psychologist
3643 WALTON WAY EXT
AUGUSTA, GA 30909
Richmond County (706) 729-9595
ANGELICA MARIA LA LUZ LCSW
Social Worker (Clinical)
3643 WALTON WAY EXT
AUGUSTA, GA 30909
Richmond County (706) 364-1404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Logan Nalley's NPI number?

The NPI number for Logan Nalley is 1235261272. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Where is Logan Nalley located?

Logan Nalley practices at 3643 Walton Way Ext, Augusta, GA 30909. The listed phone number is (706) 733-8641.

What is Logan Nalley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Logan Nalley enrolled in Medicare?

Yes. Logan Nalley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Logan Nalley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.