OrganizationActive
South Georgia Periodontics, PC
NPI 1194981910 · Periodontics · Valdosta, GA
South Georgia Periodontics, PC is a Periodontics organization in Valdosta, GA (NPI 1194981910).
Provider details
- NPI number
- 1194981910
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Brent Depta, Owner(229) 247-0437
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
307 Georgetown Cir
Valdosta, GA 31602-4113
Phone: (229) 247-0437
Fax: (229) 242-4395
Approximate (ZIP-level) locationGet directions
Mailing address
307 Georgetown Cir
Valdosta, GA 31602-4113
Registry dates
- Enumerated
- 2008-07-31
- Last updated
- 2008-07-31
Frequently asked questions
- What is South Georgia Periodontics, PC's NPI number?
- South Georgia Periodontics, PC's National Provider Identifier (NPI) is 1194981910, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Georgia Periodontics, PC?
- South Georgia Periodontics, PC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is South Georgia Periodontics, PC located?
- South Georgia Periodontics, PC's practice location on file with NPPES is 307 Georgetown Cir, Valdosta, GA 31602-4113.
- What is South Georgia Periodontics, PC's phone number?
- The practice phone number listed in the NPPES registry for South Georgia Periodontics, PC is (229) 247-0437.
- Who is the authorized official for South Georgia Periodontics, PC?
- The authorized official listed on South Georgia Periodontics, PC's NPPES record is Brent Depta, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Georgia Periodontics, PC's NPI active?
- Yes — South Georgia Periodontics, PC's NPI (1194981910) is active in the NPPES registry as of the last update on 2008-07-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.