Active NPI
Shelly Lovell Pound, D.M.D
- Dentist
- Greensboro, GA
National Provider Identifier
1124432802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN014784
- Practice address
- 1011 Parkside Main
Greensboro, GA 30642-4543 - Phone
- (706) 453-1333
- Fax
- (706) 453-7001
- NPI assigned
- Jun 20, 2014
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN014784 | GA | Primary |
Addresses
Primary practice location
1011 Parkside Main
Greensboro, GA 30642-4543
Mailing address
1011 Parkside Main
Greensboro, GA 30642-4543
Phone (706) 453-1333
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150717002311 | GA | Order and Referring Only - Oral Surgery | 9335452416 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN014784 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403222400000",
"number": "1124432802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 PARKSIDE MAIN",
"city": "GREENSBORO",
"state": "GA",
"postal_code": "306424543",
"telephone_number": "706-453-1333",
"fax_number": "706-453-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 PARKSIDE MAIN",
"city": "GREENSBORO",
"state": "GA",
"postal_code": "306424543",
"telephone_number": "706-453-1333",
"fax_number": "706-453-7001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POUND",
"first_name": "SHELLY",
"middle_name": "LOVELL",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-20",
"last_updated": "2014-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN014784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.