Jennifer Lynn McCoy, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013561 Issued in GA

Practice address

365 W Pike St Ste 101
Lawrenceville, GA 30046-4862

Phone

(770) 963-2424

NPI assigned

Apr 22, 2008

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jennifer L. McCoy, DDS, LLC

  dba Jennifer L McCoy DDS Cosmetic and Family Dentistry

  • General Practice Dentistry
  • Suwanee, GA
  • NPI 1972922276
  NPD Authorized official
• Jennifer McCoy DDS Lawrenceville, LLC

  dba Jennifer L McCoy DDS Cosmetic and Family Dentistry

  • General Practice Dentistry
  • Lawrenceville, GA
  • NPI 1982016523
  NPD Authorized official

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1275707200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "982 LITTLE DARBY LN",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247676",
            "telephone_number": "562-665-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 W PIKE ST STE 101",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464862",
            "telephone_number": "770-963-2424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3930 Charleston Market St Ste B1",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300248757",
            "country_code": "US",
            "telephone_number": "678-269-4910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darquita McColumn, RN
• Anna Kate McCormick, OTR/L
• Jerilyn Michelle McCormick, CRNA
• Richard D. McCormick, M.D.
• Jasmine Cyprian McCoy, LCSW
• Ashley McCray
• Lovia McCray
• James Edmonds McDaniel, M.D.
• Jessica McDonald, DPT
• Shoshana McDougle

• General Practice Dentistry in Lawrenceville, GA
• Providers in Lawrenceville, 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 Jul 21, 2020; 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.