OrganizationActive
Paul Ivey Nettles LLC
NPI 1063564078 · Pediatric Dentistry · College Park, GA
Paul Ivey Nettles LLC is a Pediatric Dentistry organization in College Park, GA (NPI 1063564078).
Provider details
- NPI number
- 1063564078
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Paul Nettles, President(770) 997-9090
- License
- 11589 (GA)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1177 Garden Walk Blvd
College Park, GA 30349-6245
Phone: (770) 997-9090
Street-level locationGet directions
Mailing address
730 Highmeade Ter
Alpharetta, GA 30005-3755
Registry dates
- Enumerated
- 2007-01-18
- Last updated
- 2025-09-11
Frequently asked questions
- What is Paul Ivey Nettles LLC's NPI number?
- Paul Ivey Nettles LLC's National Provider Identifier (NPI) is 1063564078, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Paul Ivey Nettles LLC?
- Paul Ivey Nettles LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Paul Ivey Nettles LLC located?
- Paul Ivey Nettles LLC's practice location on file with NPPES is 1177 Garden Walk Blvd, College Park, GA 30349-6245.
- What is Paul Ivey Nettles LLC's phone number?
- The practice phone number listed in the NPPES registry for Paul Ivey Nettles LLC is (770) 997-9090.
- Who is the authorized official for Paul Ivey Nettles LLC?
- The authorized official listed on Paul Ivey Nettles LLC's NPPES record is Paul Nettles, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Paul Ivey Nettles LLC's NPI active?
- Yes — Paul Ivey Nettles LLC's NPI (1063564078) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.