NPI age
13 years
Enumerated 2012-09-10
● Active Type 2 · Organization
Oral An Implant Surgery Specialists, Pc
Oral An Implant Surgery Specialists, Pc is 1 of 48 oral & maxillofacial surgery organizations in Georgia.
Primary specialty
Oral & Maxillofacial Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Johnson
Doctor
Last NPPES update
2013-05-10
Source: monthly bulk 2026-05
How this organization compares
Across 48 active oral & maxillofacial surgery providers in Georgia.
NPI age
13 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-09Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
1260 Highway 54 W, Suite 200
Fayetteville, GA 302144514
Mailing address
1260 Highway 54 W, Suite 200
Fayetteville, GA 302144514
Authorized official
Durwood M Johnson, DMD
Doctor
📞 7704612101
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Lisa Avery, M.D. Psychiatry & Neurology NPI 1699008409
- Karen Barber Physical Therapist NPI 1790713279
- Joy Brumbeloe, CNM Advanced Practice Midwife NPI 1689851925
Specialties
-
Oral & Maxillofacial Surgery PrimaryOral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000189351B |
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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