DR. CHARLES RUSSELL WRIGHT (NPI# 1306936547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306936547 |
| Entity Type | Individual |
| Full Name | DR. CHARLES RUSSELL WRIGHT |
| Credential | DDS |
| Practice Address |
2129 Grandview Rd Jasper GA 30143-3313 |
| Mailing Address |
Po Box 484 Jasper GA 30143-0484 |
| Practice Telephone | 6789251077 |
| Mailing Telephone | 6789251077 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8105 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184189664 | Charles Edward Wright | Home Health | 223 N Collins Rd, Sunnyvale, TX 75182-9518 | 2019-02-08 |
| 1255886107 | Charles Grant Wright | Physical Therapy Assistant | 129 Robinwood Dr Nw, Fort Walton Beach, FL 32548-4363 | 2016-08-22 |
| 1871636118 | Charles L Wright | Dentist | 1081 Dove Run Road, Lexington, KY 40502 | 2007-02-15 |
| 1295897916 | Charles Frederick Wright | Dentist | 39 Providence Dr, Pawleys Island, SC 29585-6078 | 2006-12-16 |
| 1184717431 | Charles Darrell Wright II | Counselor | 5003 Southpark Dr Ste 120, Durham, NC 27713-9414 | 2006-10-01 |
| 1811090848 | Charles Kent Wright | Family Medicine | 1901 Boston St., Fort Smith, AR 72901 | 2006-09-06 |
| 1356721708 | Charles Wright | Peer Specialist | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2015-06-01 |
| 1407296841 | Charles Rufus Wright | Dentist | 548 Battlefield Blvd S, Chesapeake, VA 23322-5363 | 2013-06-30 |
| 1770805855 | Charles Michael Wright | Nurse Anesthetist, Certified Registered | 80 Newnan Station Drive, Suite A, Newnan, GA 30265 | 2010-02-17 |
| 1457529901 | Charles Reese Wright | Dentist | 1280 W Lantana Rd, Suite #8, Lantana, FL 33462-1543 | 2008-02-19 |
| Street Address |
2129 GRANDVIEW RD |
| City | JASPER |
| State | GA |
| Zip Code | 30143-3313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111845 | George Mackel, Pmhnp-bc, LLC | Nurse Practitioner | 12034 Big Canoe, 400 Shetland Trace, Jasper, GA 30143 | 2020-10-14 |
| 1598363434 | Amanda J Griggs | Massage Therapist | 54 Wolfscratch Village, Jasper, GA 30143 | 2020-10-13 |
| 1801397724 | Jema Day | Nurse Practitioner | 620 J L White Dr Ste 140, Jasper, GA 30143 | 2018-02-26 |
| 1023467545 | North Georgia Personal Care LLC | Home Health | 501 North Main St., Suite B, Jasper, GA 30143 | 2016-06-06 |
| 1871979641 | Sj & J Spine and Pain Group Holding LLC | Pain Medicine | 91 Sammy Mcghee Blvd, Suite 101, Jasper, GA 30143 | 2015-08-04 |
| 1801294293 | Highland Recovery Center | Community/Behavioral Health | 323 Roland Road, Jasper, GA 30143 | 2014-12-17 |
| 1770905861 | Leslie Rhea Hanagan | Speech-Language Pathologist | 22 Dogwood Lane, Jaser, GA 30143 | 2014-01-09 |
| 1669800660 | Pickens County Chiropractic | Chiropractor | 95 North Main Street, Jasper, GA 30143 | 2013-10-29 |
| 1407139264 | Rocky Mountain Holdings LLC | Ambulance | 70 Airport Business Court, Jasper, GA 30143 | 2011-09-27 |
| 1851681415 | Richard J Vandam | Internal Medicine | 1266 Highway 515, Piedmont Mountainside Hospital, Jasper, GA 30143 | 2011-04-15 |
| Find all providers in zip 30143 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194209650 | Ansley Parnell Allen | Dentist | 1208 Highway 78 East, Jasper, AL 35501 | 2018-09-20 |
| 1487069035 | Howard Ronald Brown | Dentist | 1606 Highway 78 E, Jasper, AL 35501-4034 | 2014-06-23 |
| 1356696058 | Southeast Texas Dental Center | Dentist | 190 N Zavalla St, Jasper, TX 75951-4119 | 2012-07-18 |
| 1548421860 | Steven G. Spencer | Dentist | 364 N Zavalla St, Jasper, TX 75951-3708 | 2008-06-19 |
| 1730358300 | Michael D. Adkins | Dentist | 1100 Woodlawn Dr, Jasper, IN 47546-8086 | 2008-02-27 |
| 1851598833 | Kelly Elizabeth Young | Dentist | 2005 Saint Charles St Ste 5, Jasper, IN 47546-9146 | 2007-07-02 |
| 1508068891 | Bradley Simpson Hicks | Dentist | 4500 Highway 78 E, Jasper, AL 35501-8804 | 2007-05-31 |
| 1124248406 | Jodi Lee Kahla | Dentist | 2051-e South Wheeler, Jasper, TX 75951-5600 | 2007-04-27 |
| 1427278175 | William Charles Fincannon | Dentist | 1001 W Gibson St, Jasper, TX 75951-4803 | 2007-04-26 |
| 1841417706 | J. Brad Wilson | Dentist | 288 Northwood Ave, Jasper, IN 47546-1212 | 2007-04-19 |
| Find all providers in JASPER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.