DR. CHRIS JO (D.M.D.) – Oral and Maxillofacial Surgery (Dentist), NPI 1114985389
Oral and Maxillofacial Surgery (Dentist)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
76 ORAL SURGERY in GA
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Provider Addresses for DR. CHRIS JO (D.M.D.)
Creative Dentistry, 1000, Johnson Ferry Road Northeast, Mount Bethel, Marietta, Georgia, 30068, United States
BLDG. H
MARIETTA, GA 300682114
Phone: (678) 819-6536
Fax: (678) 819-6531
Type: Location
4542, Westhampton Woods Drive, Tucker, DeKalb County, Georgia, 30084, United States
TUCKER, GA 300842818
Phone: (404) 247-0411
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $554.
Total Amount is formed as General ($554) + Research ($0) + Ownership ($0) = $554.
Last reported payment date: 2024-06-06 • Largest payer in this snapshot: ZIMVIE INC. ($554).
Total Amount
$554
General + Research + Ownership
Payments
9
Total payment records
General Amount
$554
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ZIMVIE INC. | $554 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-10-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061023000361 | I | Oral Surgery | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30068)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Maxillofacial Surgery, Oral Surgery | LA | |
| - | GA | |
| Maxillofacial Surgery, Oral Surgery | GA | |
| Maxillofacial Surgery, Oral Surgery | GA | |
| - | GA | |
| Maxillofacial Surgery, Dentist, Oral Surgery | GA | |
| Maxillofacial Surgery, Oral Surgery | GA | |
| Maxillofacial Surgery, Oral Surgery | MD | |
| Maxillofacial Surgery, Oral Surgery | FL | |
| Maxillofacial Surgery, Oral Surgery | GA |
Reviews
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