Active NPI
Megan Powers Flournoy
- Pediatric Dentistry
- Macon, GA
National Provider Identifier
1033553151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN014643
- Practice address
- 5437 Bowman Rd
Suite 300
Macon, GA 31210-6565 - Phone
- (478) 333-3636
- NPI assigned
- Apr 19, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN014643 | GA | Primary |
Addresses
Primary practice location
5437 Bowman Rd
Suite 300
Macon, GA 31210-6565
Mailing address
117 Troon Way
Macon, GA 31210-2910
Phone (770) 364-3429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN014643 | GA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Dentistry of Central Georgia - Macon LLC | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Macon, GA
- NPI 1073083127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437955200000",
"number": "1033553151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 TROON WAY",
"city": "MACON",
"state": "GA",
"postal_code": "312102910",
"telephone_number": "770-364-3429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5437 BOWMAN RD",
"address_2": "SUITE 300",
"city": "MACON",
"state": "GA",
"postal_code": "312106565",
"telephone_number": "478-333-3636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOURNOY",
"first_name": "MEGAN",
"middle_name": "POWERS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-19",
"last_updated": "2015-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "GA",
"license": "DN014643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.