Active NPI
David Grant Lovell, MD
- Anatomic Pathology & Clinical Pathology Physician
- Cartersville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 034648
- Practice address
- 960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129 - Phone
- (770) 382-1530
- Fax
- (770) 387-8198
- NPI assigned
- Mar 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 034648 | GA | Primary |
Addresses
Primary practice location
960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129
Mailing address
PO Box 30309
Charleston, SC 29417-0309
Phone (843) 544-9300
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034648 | GA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smyrna Family Medicine, LLC | Current | Accepting new patients | |
| Tapestry Hospice of Northwest Georgia LLC | Current | Accepting new patients | |
| Tapestry Hospice of McDonough,LLC | Past | Accepting new patients |
Locations
189 Professional Ct SE
Ste 400
Calhoun, GA 30701
Phone (706) 383-8812
2950 Cherokee St NW
Ste 900
Kennesaw, GA 30144
Phone (470) 221-0216
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Tapestry Hospice of Northwest Georgia LLC | Hospice | 5% Or Greater Direct Ownership Interest (40%) Corporate Officer (40%) Corporate Director (40%) W-2 Managing Employee (40%) |
Dec 28, 2010 Feb 10, 2012 Feb 10, 2012 Feb 10, 2012 |
| Tapestry Hospice of Fort Oglethorpe | Hospice | 5% Or Greater Direct Ownership Interest (40%) Corporate Officer (40%) Corporate Director (40%) |
Mar 31, 2016 Mar 31, 2016 Mar 31, 2016 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Ringgold, GA
- NPI 1881123701
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer
-
- Community Based Hospice Care Agency
- Calhoun, GA
- NPI 1952686768
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee
Organizations & group practices 3
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.
-
- Community Based Hospice Care Agency
- Calhoun, GA
- NPI 1952686768
-
- Family Medicine Physician
- Smyrna, GA
- NPI 1598168650
-
- Community Based Hospice Care Agency
- McDonough, GA
- NPI 1669745006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203552000000",
"number": "1376503086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30309",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294170309",
"telephone_number": "843-544-9300",
"fax_number": "843-566-8780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 JOE FRANK HARRIS PKWY SE",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301202129",
"telephone_number": "770-382-1530",
"fax_number": "770-387-8198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVELL",
"first_name": "DAVID",
"middle_name": "GRANT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-25",
"last_updated": "2008-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "GA",
"license": "034648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cartersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.