Individual provider Active NPI

James Herschel Powell, D.M.D

  • General Practice Dentistry
  • Athens, GA
National Provider Identifier
1285064568
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN008795 Issued in GA
Practice address
1720 Epps Bridge Pkwy
Suite 110
Athens, GA 30606-6132
Phone
(706) 227-0773
Fax
(706) 227-1642
NPI assigned
Nov 22, 2013
Last updated
Nov 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN008795 GA Primary

Addresses

Primary practice location

1720 Epps Bridge Pkwy
Suite 110
Athens, GA 30606-6132

Mailing address

1720 Epps Bridge Pkwy
Suite 110
Athens, GA 30606-6132
Phone (706) 227-0773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Epps Village Family Dentistry LLC Past Accepting new patients
Epps Village Family Dentistry,LLC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1285064568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 EPPS BRIDGE PKWY",
            "address_2": "SUITE 110",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066132",
            "telephone_number": "706-227-0773",
            "fax_number": "706-227-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 EPPS BRIDGE PKWY",
            "address_2": "SUITE 110",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066132",
            "telephone_number": "706-227-0773",
            "fax_number": "706-227-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JAMES",
        "middle_name": "HERSCHEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-22",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN008795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.