OrganizationActive
Periodontal Associates PC
NPI 1184845273 · Periodontics · Atlanta, GA
Periodontal Associates PC is a Periodontics organization in Atlanta, GA (NPI 1184845273).
Provider details
- NPI number
- 1184845273
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Henry Diversi, President(770) 996-2900
- License
- 6518 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 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
1895 Phoenix Blvd
Ste 138
Atlanta, GA 30349
Phone: (770) 996-2900
Fax: (770) 996-0403
Street-level locationGet directions
Mailing address
1895 Phoenix Blvd
Atlanta, GA 30349
Registry dates
- Enumerated
- 2007-05-02
- Last updated
- 2020-08-22
Frequently asked questions
- What is Periodontal Associates PC's NPI number?
- Periodontal Associates PC's National Provider Identifier (NPI) is 1184845273, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Periodontal Associates PC?
- Periodontal Associates PC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Periodontal Associates PC located?
- Periodontal Associates PC's practice location on file with NPPES is 1895 Phoenix Blvd, Atlanta, GA 30349.
- What is Periodontal Associates PC's phone number?
- The practice phone number listed in the NPPES registry for Periodontal Associates PC is (770) 996-2900.
- Who is the authorized official for Periodontal Associates PC?
- The authorized official listed on Periodontal Associates PC's NPPES record is Henry Diversi, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Periodontal Associates PC's NPI active?
- Yes — Periodontal Associates PC's NPI (1184845273) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.