DR. ZOE SIMONE GRIFFITH DMD NPI 1801083415
Dentist in Conyers, GA
About DR. ZOE SIMONE GRIFFITH DMD
Zoe Griffith is a provider established in Conyers, Georgia and her medical specialization is Dentist. The NPI number of this provider is 1801083415 and was assigned on September 2007. The practitioner's primary taxonomy code is 122300000X with license number DN013640 (GA). The provider is registered as an individual and her NPI record was last updated 2 years ago.
| NPI | 1801083415 |
| Provider Name | DR. ZOE SIMONE GRIFFITH DMD |
| Location Address | 2802 CLEARWATER TER SE CONYERS, GA 30013 |
| Location Phone | (470) 595-3579 |
| Mailing Address | 2802 CLEARWATER TER SE CONYERS, GA 30013 |
| Gender | Female |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Enumeration Date | 09-27-2007 |
| Last Update Date | 08-20-2021 |
A dentist like Zoe Griffith is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.Zoe Griffith is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA)..
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Zoe Griffith opted out of Medicare effective on 12-30-2015 until 12-30-2023. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 122300000X |
| Classification | Dentist |
| Type | Dental Providers |
| License No. | DN013640 |
| License State | GA |
| Taxonomy Description | A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
Business Address
2802 CLEARWATER TER SE
CONYERS, GA
ZIP 30013
Phone: (470) 595-3579
Mailing Address
2802 CLEARWATER TER SE
CONYERS, GA
ZIP 30013
Phone: (205) 516-0231
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as Medicare providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in the Medicare program need to enroll in PECOS with their NPI number to avoid denied claims.
| Registered in PECOS? | Yes |
| Opted-Out of Medicare | Yes |
| Opt-Out Effective Date | 12-30-2015 |
| Opt-Out End Date | 12-30-2023 |
| Eligible to Order and Refer | Yes |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order or refer Durable Medical Equipment (DMEPOS) | Yes |
| Eligible order r refer Home Health Agency (HHA) | Yes |
| Eligible order r refer Power Mobility Devices | No |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 30013 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99203 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $58.88 | $178.51 | $90.51 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.72 | $44.62 | $22.62 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99213 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $18.36 | $145.86 | $73.63 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.59 | $36.46 | $18.4 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 1223G0001X | Dental Providers | Dentist | General Practice | DN013640 | GA | No |
Taxonomy Description: 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. | |||||||
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 0 | 1 | 0 | 8 | 3 | 4 | 1 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 0 | 1 | 0 | 8 | 6 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 0 + 1 + 0 + 8 + 6 + 4 + 2 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1801083415 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1316100738 | DR. ALAN A DERRICK-GRIFFITH DMD Individual | Dentist (General Practice) | 2802 CLEARWATER TER SE CONYERS, GA 30013 (470) 595-3540 |
Frequently Asked Questions
What is Dr. Zoe Griffith DMD NPI number?
The NPI number assigned to this healthcare provider is 1801083415, registered as an "individual" on September 27, 2007
Where is the provider located?
The provider is located at 2802 Clearwater Ter Se Conyers, Ga 30013 and the phone number is (470) 595-3579
What is the provider specialty code?
The provider's speciality is Dentist with taxonomy code 122300000X
Is Dr. Zoe Griffith DMD registered in PECOS?
Yes, as of September 14, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
How much is a visit to Dr. Zoe Griffith DMD?
Medicare beneficiaries should expect a typical cost of $90.51 with an average copayment of $22.62 for new patient appointments. Established patients should expect a typical charge of $73.63 and an average copayment of 18.4. Please review your insurance plan or contact the provider directly to determine your specific costs.
Does Dr. Zoe Griffith DMD accepts Medicare?
No, the provider signed an affidavit on December 30, 2015 to opt-out of the Medicare program. The provider is excluded from the Medicare program until December 30, 2023.
How do I update my NPI information?
This NPI record was last updated on September 27, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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