DREW ROBERT BORGHOLTHAUS DMD
NPI 1265222517
Dentist - General Practice in Waycross, GA

Q: What is Drew Borgholthaus's NPI number?

The NPI number for Drew Borgholthaus is 1265222517. It was assigned to this individual provider in the NPPES registry on May 9, 2025.

Q: What is Drew Borgholthaus's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Drew Borgholthaus was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since May 09, 2025PECOS Enrolled

218 QUARTERMAN ST, WAYCROSS, GA 31501(912) 287-9140 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2025, May 9, 2025 (2 updates tracked since 2025).

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About Drew Robert Borgholthaus Dmd NPPES

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

DREW ROBERT BORGHOLTHAUS DMD (NPI 1265222517) is an individual general practice provider in Waycross, Georgia, licensed in Georgia (DN123747) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265222517

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDREW ROBERT BORGHOLTHAUSCredential: DMD

Location Address218 QUARTERMAN STWaycross, GA 31501-3547

Mailing Address218 Quarterman StWaycross, GA 31501-3547 · (912) 287-9140

Phone(912) 287-9140

Sole ProprietorNo

Enumeration DateMay 9, 2025

Last NPPES UpdateJuly 9, 20252 updates tracked since enumeration

NPPES CertifiedJuly 9, 2025

✔ NPI 1265222517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in GA · DN123747

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

218 QUARTERMAN ST, Waycross, GA 31501

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Secondary Practice Locations 2

Location 1106 Shoppers Way Ste 1Brunswick, GA 31525-0511 · Phone (208) 590-1119

Location 2308 Bedell AveWoodbine, GA 31569-2091 · Phone (912) 574-5278

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Drew Robert Borgholthaus Dmd 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.

Medicare Billing Reassignment

Medicare enrollment records show Drew Borgholthaus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mckinney Medical Center Inc

Same address

Federally Qualified Health Center (FQHC)

218 QUARTERMAN ST
Waycross, GA 31501

Reassigned Medicare billing, Georgia enrollment
19 clinicians in this Medicare group

NPI 1487665733 (912) 287-9140

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31501 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 12

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

MR. EARL T MARTIN M.D.

Family Medicine