Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1124129796 Deactivated / Inactive NPI Male Practitioner

Dr. Manuel Isadore Weisman , DDS

Dentist - Endodontics • Augusta, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Manuel Weisman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 26, 2006
NPI Deactivation Date December 31, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Manuel Weisman, DDS was a registered Dentist - Endodontics practicing in Augusta, GA. Throughout an active medical career spanning 12 years, Dr. Weisman provided care at the practice location at 1 FREEDOM WAY until profile deactivation on 2018-12-31.

Practice Location & Contact Primary Location

Practice Address

1 Freedom Way

Augusta, GA 309046258

Telephone 7067330188
Associated Practice Facility / Clinic
🏢 Augusta Vamc Facility NPI 1942259924

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
16 Specialists

Practicing in Augusta, GA (162 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License GA DN005628

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003096231

Registered Pharmacist

Hallie Cheek , LMSW

Social Worker

NPI 1003120189

Licensed Master Social Worker

Lisa Jones , RN

Registered Nurse

NPI 1003134891

Registered Nurse

Debra Jones , LMSW

Social Worker

NPI 1003165721

Licensed Master Social Worker

Melissa Williams , PT

Physical Therapist

NPI 1003449075

Physical Therapist

Dr. Sonya Medina , PhD

Psychologist - Clinical

NPI 1003907536

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 31, 2018

Record deactivated on December 31, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1 FREEDOM WAY, AUGUSTA, GA 309046258 (Tel: 7067330188)

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Updated Business Mailing Address July 08, 2007

Registered at 735 OBERLIN RD, AUGUSTA, GA 309093435 (Tel: 7067339063)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MANUEL WEISMAN, D.D.S

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DN005628 in GA)

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Initial NPI Registration & Enumeration September 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124129796
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2006
Last Update: July 08, 2007
Deactivation Date: December 31, 2018

Mailing Address

735 Oberlin Rd

Augusta, GA 309093435

Phone: 7067339063

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.