P Praxis·MD
● Active Type 1 · Individual

DR. Kajuana Pearldealia Farrey, D.M.D.

Dentist·Moultrie, GA· NPI 1790911170 · Enumerated 2009 · 16 years on NPI
Farrey is 1 of 10 dentist providers in Moultrie and 1 of 4309 in Georgia.
NPI age
16 years
Enumerated 2009-05-30
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-03-27
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 4309 active dentist providers in Georgia.

NPI age
16 years
↓ 2 yr below median (18 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
1
In the 13% of peers with subspecialties

NPI lifetime · 2009 → 2026

2009-05Enumerated in NPPES
2009 2026

Where they practice

Practice location
513 S Main St
Moultrie, GA 317684637
📞 2298903908fax 2298903909
Mailing address
Po Box 2229
Moultrie, GA 317762229
📞 2298903908fax 2298903909

Specialties

  • Dentist Primary
    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.
    GA license #DN013880 taxonomy 1223G0001X
  • Dentist
    The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. ...
    GA license #DN013880 taxonomy 1223D0001X

Identifiers

TypeValueNotes
05 (GA) 148974731B

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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