Jimmy Lee Blount, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN11497 Issued in GA

Practice address

5156 Cook St NE
Covington, GA 30014-2630

Phone

(678) 342-9933

Fax

(678) 526-0010

NPI assigned

Feb 9, 2007

Sex

Male

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

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.

• Dentures and Family Dentistry

  • General Practice Dentistry
  • Covington, GA
  • NPI 1215482765

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1336280528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 WATER FALL LN",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300876317",
            "telephone_number": "770-482-7800",
            "fax_number": "678-526-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5156 COOK ST NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142630",
            "telephone_number": "678-342-9933",
            "fax_number": "678-526-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOUNT",
        "first_name": "JIMMY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN11497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bivins Enterprise, LLC
• Soni Elizabeth Blackburn, LMSW
• Tiffany Blamble, PA-C
• Christy Blanchford, M.D.
• Destiny Blocker
• Denicia Adoniya Boatswain
• Leon Bohanan Jr., RN
• Jennifer Bohannon
• Britsheny Bolaji
• Dorcas Bolaji, APRN

• All providers in Covington, GA
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.