Beverly Egolum

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN123901 Issued in GA

Practice address

1980 N Columbia St
Milledgeville, GA 31061-2020

Phone

(478) 779-1298

NPI assigned

Mar 19, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758326400000",
    "number": "1093575169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 N COLUMBIA ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 N COLUMBIA ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612020",
            "telephone_number": "478-779-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGOLUM",
        "first_name": "BEVERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2025-09-20",
        "certification_date": "2025-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN123901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah G Eason, OT
• William Claude Eason, CO
• Rachel Cannon East, M.ED., CCC-SLP
• Katharine Witten Edwards, OTR/L
• Lee C. Edwards, PH.D.
• Gini M Ellis, LPC, NCC
• Lora Longino Elston, RNC, IBCLC
• Endless Options Transportation, LLC
• Anna H Ethridge, NP-C
• Frank Owen Evans Jr., M.D.

• General Practice Dentistry in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2025; 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.