DR. VICTOR I ETHERIDGE DMD,PC - NPI 1386712271

Q: What is Victor Etheridge's NPI number?

The NPI number for Victor Etheridge is 1386712271. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Q: What is Victor Etheridge'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 Victor Etheridge was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Victor I Etheridge Dmd,pc NPPES

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

DR. VICTOR I ETHERIDGE DMD,PC (NPI 1386712271) is an individual general practice provider in Sandersville, Georgia, licensed in Georgia (8267) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386712271

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. VICTOR I ETHERIDGECredential: DMD,PC

Location Address524 SPARTA RDSandersville, GA 31082-1376

Mailing Address524 Sparta RdSandersville, GA 31082-1376 · (478) 552-6914 · Fax (478) 552-8880

Phone(478) 552-6914

Fax(478) 552-8880

Sole ProprietorYes

Enumeration DateDecember 1, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1386712271 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 · 8267

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.

524 SPARTA RD, Sandersville, GA 31082

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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. Victor I Etheridge Dmd,pc 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 31082 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 5

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

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