NPI age
10 years
Enumerated 2015-11-09
● Active Type 2 · Organization
Classic City Orthodontics
Classic City Orthodontics is 1 of 62 exclusive provider organization organizations in Georgia.
Primary specialty
Exclusive Provider Organization
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Oliver
Insurance Coordinator
Last NPPES update
2015-11-09
Source: monthly bulk 2026-05
How this organization compares
Across 62 active exclusive provider organization providers in Georgia.
NPI age
10 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-11Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
600 Oglethorpe Ave
Athens, GA 306062263
Mailing address
600 Oglethorpe Ave
Athens, GA 306062263
Authorized official
Carla Robin Oliver
Insurance Coordinator
📞 7065494748
Individual providers at this organization
4 individual providers on file at this primary practice address.
- C. Harter, D.M.D. Dentist NPI 1669591947
- Douglas Henson, D.M.D. Dentist NPI 1679627616
- Albert Shackelford, DMD Dentist NPI 1780748855
- Jonathan Tomlinson, DMD, MD Dentist NPI 1922208248
Specialties
-
Exclusive Provider Organization Primary(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1669591947 | NPI |
Practice context
Multi-provider organization. 4 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 →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.