Shirley Jones Lathon, in Newnan, GA - Medicare Dentist Provider

Shirley Jones Lathon, is a medicare enrolled "Dentist - General Practice" provider in Newnan, Georgia. Her current practice location is 1605 Highway 34 E Ste A1, Newnan, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 254-8000.

Shirley Jones Lathon is licensed to practice in Georgia (license number DN011657) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164525390.

Contact Information

	Shirley Jones Lathon,
	1605 Highway 34 E Ste A1, Newnan, GA 30265-2191
	(770) 254-8000
	Not Available

Healthcare Provider's Profile

Full Name	Shirley Jones Lathon
Gender	Female
Speciality	Dentist - General Practice
Location	1605 Highway 34 E Ste A1, Newnan, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164525390
Provider Enumeration Date: 09/06/2006
Last Update Date: 02/07/2024

Medicare PECOS Information:

PECOS PAC ID: 4880967678
Enrollment ID: I20170829004367

Medical Identifiers

Medical identifiers for Shirley Jones Lathon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164525390	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DN011657 (Georgia)	Secondary
1223G0001X	Dentist - General Practice	DN011657 (Georgia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shirley Jones Lathon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shirley Jones Lathon, 2502 N Rocky Point Dr, Suite 1000-credentialing, Tampa, FL 33607-1421 Ph: () -	Shirley Jones Lathon, 1605 Highway 34 E Ste A1, Newnan, GA 30265-2191 Ph: (770) 254-8000

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Dentist in Newnan, GA

Dr. Jeffrey D Schultz, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 182a Jefferson Pkwy, Newnan, GA 30263 Phone: 770-304-5577 Fax: 770-304-5550
Philip G Swords, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 56 Jefferson St, Newnan, GA 30263 Phone: 770-253-2802 Fax: 770-252-9304
Dr. Paul David Orr, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 56 Jefferson St, Newnan, GA 30263 Phone: 770-253-2802 Fax: 770-252-9304
Dr. Warren Rivera-morales, DMD, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 15 Ruth Dr, Newnan, GA 30265 Phone: 770-253-3171 Fax: 770-253-9892
Dr. Scott Raymond Johnson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2712 Highway 34 E, Newnan, GA 30265 Phone: 770-304-0082
Dr. Bryan Scott Geerlings, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 91 Jefferson Pkwy, Newnan, GA 30263 Phone: 770-502-0350 Fax: 770-502-0135
Dr. Nidhi S Patel, DMD Dentist Medicare: Medicare Enrolled Practice Location: 15 Ruth Dr, Newnan, GA 30265 Phone: 770-253-3171

Shirley Jones Lathon, - Medicare Dentist in Newnan, GA