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FARREY FAMILY DENTISTRY LLC
NPI 1265731442
Dentist - General Practice in Moultrie, GA

Active since March 27, 2011
513 S MAIN ST, MOULTRIE, GA 31768(229) 890-3908(229) 890-3909 Get Directions Write a Review

NPPES record last updated: June 29, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Farrey Family Dentistry Llc NPPES

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

FARREY FAMILY DENTISTRY LLC (NPI 1265731442) is a healthcare organization registered as a general practice in Moultrie, Georgia and active in the NPI registry since March 2011. The organization lists Kajuana Pearldealia Farrey, Dental Director, as its authorized official.

NPPES Registry Identity

NPI1265731442
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFARREY FAMILY DENTISTRY LLC
Location Address513 S MAIN STMoultrie, GA 31768-4637
Mailing AddressPo Box 2229Moultrie, GA 31776-2229 · (229) 890-3908 · Fax (229) 890-3909
Phone(229) 890-3908
Fax(229) 890-3909
Organization SubpartNo
Authorized OfficialKajuana Pearldealia FarreyDental Director · (229) 890-3908
Enumeration DateMarch 27, 2011
Last NPPES UpdateJune 29, 2022
NPPES CertifiedJune 29, 2022
✔ NPI 1265731442 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 · DN013880
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.
513 S MAIN ST, Moultrie, GA 31768
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Other Identifiers 1

Medicaid148974731BGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Farrey Family Dentistry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Farrey Family Dentistry LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kajuana Farrey, D.M.D.
Oral Surgery
NPI 1790911170
513 S MAIN ST
Moultrie, GA 31768
(229) 890-3908
✔ PECOSSame address

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

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 Farrey Family Dentistry LLC's NPI number?

The NPI number for Farrey Family Dentistry LLC is 1265731442. It was assigned to this organization in the NPPES registry on March 27, 2011.

Where is Farrey Family Dentistry LLC located?

Farrey Family Dentistry LLC is located at 513 S Main St, Moultrie, GA 31768. The listed phone number is (229) 890-3908.

What is Farrey Family Dentistry LLC's specialty?

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

Is Farrey Family Dentistry LLC enrolled in Medicare?

Yes. Farrey Family Dentistry LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Farrey Family Dentistry LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Farrey Family Dentistry LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Farrey Family Dentistry LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Farrey Family Dentistry LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Farrey Family Dentistry LLC was last updated on June 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.