NIDA MOLEDINA
NPI 1912636820
Dentist - General Practice in Lawrenceville, GA

Active since June 07, 2022PECOS Enrolled
171 GWINNETT DR STE C, LAWRENCEVILLE, GA 30046(770) 963-1941 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 13, 2022, Jun 7, 2022 (2 updates tracked since 2022).

About Nida Moledina NPPES

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

NIDA MOLEDINA (NPI 1912636820) is an individual general practice provider in Lawrenceville, Georgia, licensed in Georgia (DN122842) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Decatur.

NPPES Registry Identity

NPI1912636820
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameNIDA MOLEDINA
Location Address171 GWINNETT DR STE CLawrenceville, GA 30046-5686
Mailing Address1320 Stanley Park DrDecatur, GA 30033-4429 · (404) 643-1115
Sole ProprietorNo
Enumeration DateJune 7, 2022
Last NPPES UpdateMay 22, 20242 updates tracked since enumeration
NPPES CertifiedMay 22, 2024
NPI 1912636820 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 · DN122842
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.

171 GWINNETT DR STE C, Lawrenceville, GA 30046

Secondary Practice Location 1

Location 11775 Clairmont RdDecatur, GA 30033-4005 · Phone (404) 325-5440

Accepted 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)

Nida Moledina 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 30046 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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912636820, enumerated as an "individual" on June 07, 2022.

The provider is located at 171 GWINNETT DR STE C LAWRENCEVILLE, GA 30046 and the phone number is (770) 963-1941.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.