Terence Alan Dunavan, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN073147 Issued in GA

Practice address

1506 Pendleton Rd
Augusta, GA 30904-4840

Phone

(706) 726-5663

NPI assigned

Feb 9, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1328745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1144593906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 PENDLETON RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044840",
            "telephone_number": "706-726-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 PENDLETON RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044840",
            "telephone_number": "706-726-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNAVAN",
        "first_name": "TERENCE",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN073147",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "SC",
            "license": "43932",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiandra Duhart
• Ashley Duke
• Chandra Dukes, MS
• Donnie P Dunagan, M.D.
• Heather A Dunagan, AGNP
• Gina Newsome Duncan, M.D.
• Jessica Duncan, PT, DPT
• Patricia Williams Duncan, RN
• Alex Dunlap
• Kellie Amanda Dunlap, PHARMD

• Licensed Practical Nurse in Augusta, GA
• Providers in Augusta, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.