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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JON MALLORY MCRAE SR. DDS
NPI 1629018718
Dentist - General Practice in Bainbridge, GA

Active since June 07, 2006PECOS Enrolled
914 E SHOTWELL ST, BAINBRIDGE, GA 39819(229) 246-7637 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jon Mallory Mcrae Sr. Dds NPPES

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

DR. JON MALLORY MCRAE SR. DDS (NPI 1629018718) is an individual general practice provider in Bainbridge, Georgia, licensed in Georgia (7603) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629018718
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JON MALLORY MCRAE SR.Credential: DDS
Location Address914 E SHOTWELL STBainbridge, GA 39819-4148
Mailing Address914 E Shotwell StBainbridge, GA 39819-4148 · (229) 246-7637
Phone(229) 246-7637
Sole ProprietorNo
Enumeration DateJune 7, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1629018718 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 · 7603
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.
914 E SHOTWELL ST, Bainbridge, GA 39819
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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. Jon Mallory Mcrae Sr. Dds 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 39819 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

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

DR. DANIEL W. WHITE D.M.D.
Dentist
914 E SHOTWELL ST
BAINBRIDGE, GA 39819
Decatur County (229) 246-8681

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 Jon Mcrae's NPI number?

The NPI number for Jon Mcrae is 1629018718. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Jon Mcrae located?

Jon Mcrae practices at 914 E Shotwell St, Bainbridge, GA 39819. The listed phone number is (229) 246-7637.

What is Jon Mcrae's specialty?

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

Is Jon Mcrae enrolled in Medicare?

Yes. Jon Mcrae is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jon Mcrae was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.