Individual provider

Kajuana Farrey, D.M.D.

General Practice Dentistry Public Health Dentistry Medicare enrolled

Kajuana Farrey, D.M.D. is a provider specialising in General Practice Dentistry in Moultrie, GA, registered under NPI 1790911170. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 513 S MAIN ST, Moultrie, GA 31768. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

513 S MAIN ST, Moultrie, GA 31768 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
DN013880 GA General Practice Dentistry primary
DN013880 GA Public Health Dentistry

This provider holds licence DN013880 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Oral Surgery
PAC ID
7113073909
Enrollment ID
I20090921000036

Medicare enrolment is recorded as approved under the provider type Practitioner - Oral Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What General Practice covers

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. NUCC Health Care Provider Taxonomy, code 1223G0001X
Dental Providers Dentist General Practice

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
1223G0001X General Practice Dentistry General Practice DN013880 GA primary
1223D0001X Public Health Dentistry Dental Public Health DN013880 GA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1790911170 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 30, 2009
Last updatedMar 27, 2011
StatusActive
Sole proprietorYes
CredentialD.M.D.
Practice address 513 S MAIN ST
Moultrie, GA 31768
(229) 890-3908
Fax (229) 890-3909
Mailing address PO BOX 2229
Moultrie, GA 31776
Other identifiers 148974731B · Medicaid (GA)
This record was last updated on Mar 27, 2011, roughly 15 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1790911170 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 9 0 9 1 1 1 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 9 0 9 1 2 1 5

Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1790911170?
NPI 1790911170 is the National Provider Identifier assigned to Kajuana Farrey, D.M.D. in Moultrie, GA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does General Practice cover?
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.
How do I contact Kajuana Farrey, D.M.D.?
The phone number on file with NPPES is (229) 890-3908, last updated Mar 27, 2011. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Kajuana Farrey, D.M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1790911170 a valid number?
Yes. 1790911170 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.