Edward D'Witt McDonald, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DN013829 Issued in GA

Practice address

2463 Hamilton Mill Pkwy
Suite 240
Dacula, GA 30019-4648

Phone

(770) 932-6510

Fax

(770) 932-6511

NPI assigned

Jan 15, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Cornerstone Dentsitry; PC

  • Dentist
  • Dacula, GA
  • NPI 1558664227
  NPD (past) Authorized official

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1285871012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2463 HAMILTON MILL PKWY",
            "address_2": "SUITE 240",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194648",
            "telephone_number": "770-932-6510",
            "fax_number": "770-932-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2463 HAMILTON MILL PKWY",
            "address_2": "SUITE 240",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194648",
            "telephone_number": "770-932-6510",
            "fax_number": "770-932-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "EDWARD",
        "middle_name": "D'WITT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-15",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "847469223C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ebonie McAfee, LPC
• Anna McCaskill, LDO
• Rachel McClain, PHARMD, RPH
• Tiffany McClendon, LCSW
• Melissa McCovery
• Kathleen J. McGregor, M.A.
• Jonathan McKee, OTR/L
• Sarah Elizabeth McKinney
• Jennifer Blair McMichael, DPT
• Mary Lu McNeill, MD

• Dentist in Dacula, GA
• Providers in Dacula, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.