DR. ELISHA W. BUCKLEY D.D.S.
NPI 1811125651
Dentist - General Practice in Roswell, GA

Q: What is Elisha Buckley's NPI number?

The NPI number for Elisha Buckley is 1811125651. It was assigned to this individual provider in the NPPES registry on July 1, 2009.

Q: What is Elisha Buckley'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 Elisha Buckley was last updated on October 2, 2021. 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.

Active since July 01, 2009PECOS Enrolled

540 E CROSSVILLE RD STE 200, ROSWELL, GA 30075(770) 642-7999(770) 642-7912 Get Directions Write a Review

NPPES record last updated: October 2, 2021. Verified against the NPPES registry weekly; last sync: September 13, 2026.

On this page

About Dr. Elisha W. Buckley D.d.s. NPPES

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

DR. ELISHA W. BUCKLEY D.D.S. (NPI 1811125651) is an individual general practice provider in Roswell, Georgia, licensed in Georgia (DN013911) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811125651

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ELISHA W. BUCKLEYCredential: D.D.S.

Location Address540 E CROSSVILLE RD STE 200Roswell, GA 30075-7661

Mailing Address540 E Crossville Rd Ste 200Roswell, GA 30075-7661 · (770) 642-7999 · Fax (770) 642-7912

Phone(770) 642-7999

Fax(770) 642-7912

Sole ProprietorYes

Enumeration DateJuly 1, 2009

Last NPPES UpdateOctober 2, 2021

NPPES CertifiedOctober 2, 2021

✔ NPI 1811125651 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 · DN013911

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.

540 E CROSSVILLE RD STE 200, Roswell, GA 30075

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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. Elisha W. Buckley D.d.s. 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 30075 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

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.

ELISHA W BUCKLEY DDS PC

Clinic/Center (Dental)

540 E CROSSVILLE RD STE 200
ROSWELL, GA 30075

Fulton County (678) 524-7364

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 Elisha Buckley's NPI number?

The NPI number for Elisha Buckley is 1811125651. It was assigned to this individual provider in the NPPES registry on July 1, 2009.

Where is Elisha Buckley located?

Elisha Buckley practices at 540 E Crossville Rd Ste 200, Roswell, GA 30075. The listed phone number is (770) 642-7999.

What is Elisha Buckley's specialty?

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

Is Elisha Buckley enrolled in Medicare?

Yes. Elisha Buckley is registered in the Medicare PECOS enrollment system.

What insurance does Elisha Buckley accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Elisha Buckley 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 Elisha Buckley was last updated on October 2, 2021. 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.