NPIMap

Organization Active NPI

Dusty Dowdy NP LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Woodstock, GA
National Provider Identifier
1023714417
Registry record updated Mar 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
DUSTY DOWDY NP LLC
Practice address
404 Beechwood LN
Woodstock, GA 30189-8111
Phone
(678) 800-1411
NPI assigned
Feb 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matthew Dustin Dowdy, PMHNPNPI 1295382125
Title
NP/Provider
Phone
(678) 800-1411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

404 Beechwood LN
Woodstock, GA 30189-8111

Mailing address

404 Beechwood LN
Woodstock, GA 30189-8111
Phone (678) 800-1411

Other practice location 1

4595 Towne Lake Parkway
Building 300, Suite 150
Woodstock, GA 30189
Phone (678) 800-1411

Other identifiers 1

IdentifierTypeStateIssuer
1295382125OtherGANPI

Other names 1

  • Steadfast Psychiatry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679097600000",
    "number": "1023714417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 BEECHWOOD LN",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301898111",
            "telephone_number": "678-800-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 BEECHWOOD LN",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301898111",
            "telephone_number": "678-800-1411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4595 Towne Lake Parkway",
            "address_2": "Building 300, Suite 150",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "30189",
            "country_code": "US",
            "telephone_number": "678-800-1411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DUSTY DOWDY NP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-03-18",
        "certification_date": "2023-03-18",
        "status": "A",
        "authorized_official_last_name": "DOWDY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DUSTIN",
        "authorized_official_title_or_position": "NP/PROVIDER",
        "authorized_official_telephone_number": "678-800-1411",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295382125",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steadfast Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Steadfast Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.