Organization Active NPI

McDowell & Co., LLC

  • General Practice Physician
  • Villa Rica, GA
National Provider Identifier
1154029114
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MCDOWELL & CO., LLC
Practice address
865 S Carroll Rd Ste C
Villa Rica, GA 30180-7056
Phone
(770) 459-4131
NPI assigned
Feb 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Authorized official

Name
Stacey McDowell, DMDNPI 1669902292
Title
Owner Dentist
Phone
(404) 884-9195

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

865 S Carroll Rd Ste C
Villa Rica, GA 30180-7056

Mailing address

146 Creekrise PL
Palmetto, GA 30268-2096
Phone (404) 884-9195

Other identifiers 1

IdentifierTypeStateIssuer
DN15411OtherGAGA DENTAL LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1154029114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 CREEKRISE PL",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302682096",
            "telephone_number": "404-884-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 S CARROLL RD STE C",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301807056",
            "telephone_number": "770-459-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDOWELL & CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "MCDOWELL",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "404-884-9195",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA DENTAL LICENSE",
            "identifier": "DN15411",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Rica, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.