DR. DONALD R NUNN (M.D. D.D.S.) – Oral and Maxillofacial Surgery (Dentist), NPI 1699779025
Oral and Maxillofacial Surgery (Dentist)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
185 PLASTIC AND RECONSTRUCTIVE SURGERY in GA
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Provider Addresses for DR. DONALD R NUNN (M.D. D.D.S.)
Creative Dentistry, 1000, Johnson Ferry Road Northeast, Mount Bethel, Marietta, Georgia, 30068, United States
BLDG H
MARIETTA, GA 300685518
Phone: (770) 977-0364
Fax: (678) 819-6531
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $212.
Total Amount is formed as General ($212) + Research ($0) + Ownership ($0) = $212.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($113).
Total Amount
$212
General + Research + Ownership
Payments
3
Total payment records
General Amount
$212
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pacira Pharmaceuticals Incorporated | $113 |
| ZIMVIE INC. | $75 |
| BioHorizons Implant Systems Inc. | $24 |
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: 2010-11-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (923 days ago).
Enrollment records
1
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| I20101118000005 | I | Plastic And Reconstructive Surgery | GA | 2023-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 | |
| Oral Surgery, Maxillofacial Surgery | GA | |
| Maxillofacial Surgery, Dentist, Oral Surgery | GA | |
| Maxillofacial Surgery, Oral Surgery | GA | |
| Maxillofacial Surgery, Oral Surgery | MD | |
| Maxillofacial Surgery, Oral Surgery | FL |
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