Individual provider Active NPI

Elizabeth Bailey Lowery, D.M.D.

  • General Practice Dentistry
  • Eastanollee, GA
National Provider Identifier
1043437668
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN010908 Issued in GA
Practice address
RR 2 Box 408
Memorial Drive
Eastanollee, GA 30538-9523
Phone
(706) 886-8472
Fax
(706) 886-5664
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN010908 GA Primary

Addresses

Primary practice location

RR 2 Box 408
Memorial Drive
Eastanollee, GA 30538-9523

Mailing address

31 Memorial Dr
Memorial Drive
Eastanollee, GA 30538-3213
Phone (706) 886-8472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160606002775 GA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1850681685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lowery Dental Group PC 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.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1043437668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 MEMORIAL DR",
            "address_2": "MEMORIAL DRIVE",
            "city": "EASTANOLLEE",
            "state": "GA",
            "postal_code": "305383213",
            "telephone_number": "706-886-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 408",
            "address_2": "MEMORIAL DRIVE",
            "city": "EASTANOLLEE",
            "state": "GA",
            "postal_code": "305389523",
            "telephone_number": "706-886-8472",
            "fax_number": "706-886-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWERY",
        "first_name": "ELIZABETH",
        "middle_name": "BAILEY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN010908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastanollee, GA

Sources for this page

Verify at the official NPI Registry.