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Dr. Samuel Nicholas Durham , DDS, MS

Dentist - General Practice β€’ Robins Afb, GA

Active NPI 1982961512 Individual Practitioner Male Practitioner
Practice location in NPPES

655 7th St
Robins Afb, GA 31098

Call 4783278487 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

655 7th St

Robins Afb, GA 31098

Telephone 4783278487
Organization at the Same NPPES Address or Phone
78th Medgrp-Robins Facility NPI 1205816675

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

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2012

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

Compared with the same specialty in Robins Afb and Georgia

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Robins Afb

0% of these 11 clinicians have the CMS telehealth indicator.

0% of these 11 clinicians are listed by CMS as accepting Medicare assignment.

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

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-09-01
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES OH 30.023729

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

Clinicians Sharing This Practice Address or Phone

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

5 listed
Torrence Drakeford , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1619911344

NURSEPRACTITIONER

Robert Ferguson

Dentist - General Practice

NPI 1730646704
Amanda Fletcher , FNP-C

Nurse Practitioner - Family

NPI 1396375671

Family Nurse Practitioner (Certified)

NPI 1750348207

Doctor of Medicine (M.D.)

Dr. Larry Yu , MD

Preventive Medicine - Aerospace Medicine

NPI 1396701652

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
πŸ“
Updated Practice Location September 01, 2023

Registered at 655 7TH ST, ROBINS AFB, GA 31098 (Tel: 4783278487)

πŸ“
Updated Business Mailing Address September 01, 2023

Registered at 655 7TH ST, ROBINS AFB, GA 310982227

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2023

Dentist (license number reported to NPPES: OH 30.023729)

πŸ“
Updated Practice Location August 02, 2018

Registered at 8 MDG, UNIT 2022, APO, AP 96264 (Tel: 3157823029)

πŸ“
Updated Business Mailing Address August 02, 2018

Registered at 8 MDG, UNIT 2022, APO, AP 96264 (Tel: 3157823029)

πŸ‘€
Provider Name / Credentials Updated August 02, 2018

Recorded as SAMUEL DURHAM, DDS, MS

βœ…
NPI Profile Active April 20, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 20, 2012

Registered at 305 W 12TH AVE, COLUMBUS, OH 432101267 (Tel: 6146884692)

πŸ“
Business Mailing Address (Initial Record) April 20, 2012

Registered at 1789 KINGS CT, APT D, COLUMBUS, OH 432121546

πŸ‘€
Provider Name / Credentials (Initial Record) April 20, 2012

Recorded as SAMUEL DURHAM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2012

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 20, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1982961512
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2012
Last Update: September 01, 2023
Sole Proprietor: No

Other Dentist - General Practices in Robins Afb

Mailing Address

655 7th St

Robins Afb, GA 310982227

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.