Active NPI
McDowell & Co., LLC
- General Practice Physician
- Villa Rica, GA
National Provider Identifier
1154029114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stacey McDowell, DMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN15411 | Other | GA | GA DENTAL LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Villa Rica, GA
- NPI 1669902292
-
- General Practice Dentistry
- Villa Rica, GA
- NPI 1902944812
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.