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Dr. Elise Marie De Latour , DDS

Dentist - General Practice β€’ Augusta, GA

Active NPI 1235511858 Individual Practitioner Female Practitioner
Practice location in NPPES

1430 John Wesley Gilbert Drive
Augusta, GA 309120001

Call 7067212371 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1430 John Wesley Gilbert Drive

Augusta, GA 309120001

Telephone 7067212371
Fax 7067216778
Organization at the Same NPPES Address or Phone
Au Dental Associates Facility NPI 1457541781

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

What Public CMS Data Show

Dentist - General Practice: NPPES taxonomy is a reported classification, not proof of board certification.

Open Payments general payments, program year 2025

All general payments: $91.32 across 3 records.

By nature of payment

  • Food and Beverage: $91.32 across 3 records.

Reporting-company totals

  • ZIMVIE INC.: $91.32 across 3 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. De Latour has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. De Latour as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Augusta and Georgia

119 active clinicians are listed under Dentist - General Practice with a practice address in Augusta, GA (3,148 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Augusta

0% of these 119 clinicians have the CMS telehealth indicator.

0.8% of these 119 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $91.32.

Manufacturer Payment Nature Product Type Amount ($)
ZIMVIE INC.
Food and Beverage
In-kind items and services
3DIEMME RealGUIDE General $42.91
ZIMVIE INC.
Food and Beverage
In-kind items and services
TAPERED SCREW-VENT General $34.38
ZIMVIE INC.
Food and Beverage
In-kind items and services
TAPERED SCREW-VENT General $14.03

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-04-13
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES GA DNF000450

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES FL DN24440

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - DENTIST

Medicare Enrollment ID

I20230809004199

Enrollment State Jurisdiction

GA

PECOS Control ID

4688036544

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

37 listed
Dr. Rafik Abdelsayed , DDS, MS

Dentist - Oral and Maxillofacial Pathology

NPI 1902854110

Doctor of Dental Surgery, Master of Science

NPI 1265815997

Doctor of Dental Surgery, Master of Science, MCLINDENT

John Beaty

Student in an Organized Health Care Education/Training Program

NPI 1346940095
NPI 1588189435

Doctor of Dental Surgery, Master of Science

Dr. Brett Burford , DMD

Dentist - General Practice

NPI 1487054672

Doctor of Dental Medicine

Dr. Gary Chike , DMD

Dentist - General Practice

NPI 1912004359

Doctor of Dental Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location July 07, 2022

Registered at 1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 309120001 (Tel: 7067212371)

πŸ“
Updated Business Mailing Address July 07, 2022

Registered at 1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 309120001 (Tel: 7067212371)

πŸ‘€
Provider Name / Credentials Updated July 07, 2022

Recorded as ELISE DE LATOUR, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2022

Dentist (license number reported to NPPES: FL DN24440)

πŸ“
Updated Practice Location April 17, 2018

Registered at 49TH MEDICAL GROUP/SGPD, 280 FIRST STREET, BLDG 23, HOLLOMAN AFB, NM 883308273 (Tel: 5755722259)

πŸ“
Updated Business Mailing Address April 17, 2018

Registered at 49TH MEDICAL GROUP/SGPD, 280 FIRST STREET, BLDG 23, HOLLOMAN AFB, NM 883308273 (Tel: 5755723742)

πŸ‘€
Provider Name / Credentials Updated April 17, 2018

Recorded as ELISE DE LATOUR, D.D.S.

βœ…
NPI Profile Active June 19, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 19, 2015

Registered at 340 BOATNER ROAD, EGLIN AFB, FL 32542 (Tel: 8508838324)

πŸ“
Business Mailing Address (Initial Record) June 19, 2015

Registered at 340 BOATNER ROAD, EGLIN AFB, FL 32542 (Tel: 8058838324)

πŸ‘€
Provider Name / Credentials (Initial Record) June 19, 2015

Recorded as ELISE HARTMANN, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2015

Dentist (license number reported to NPPES: VA 0401414854)

🟒
Initial NPI Registration & Enumeration June 19, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1235511858
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2015
Last Update: April 13, 2023
Sole Proprietor: No

Other Dentist - General Practices in Augusta

All Dentist - General Practices in Augusta

Mailing Address

1430 John Wesley Gilbert Drive

Augusta, GA 309120001

Phone: 7067212371

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.