Adrienne Dewberry, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN072948 Issued in GA

Practice address

715 Bradley Dr
Fayetteville, GA 30214-2030

Phone

(770) 358-5252

NPI assigned

May 3, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Adrienne Daniel Other name

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.

• McIntosh Trail Community Service Board

  • Community/Behavioral Health Agency
  • Griffin, GA
  • NPI 1336317270
  NPD (past)
• McIntosh Trail Community Service Board

  • Community/Behavioral Health Agency
  • Fayetteville, GA
  • NPI 1689852840
  NPD (past)

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1497310650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406A VINEYARD RD",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302231089",
            "telephone_number": "404-824-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 BRADLEY DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142030",
            "telephone_number": "770-358-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWBERRY",
        "first_name": "ADRIENNE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN072948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIENNE",
            "last_name": "DANIEL",
            "credential": "LPN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Matthew Deutscher
• Joseph Donald Deveau, MD
• Rachael Deviese, PA-C
• Devotion Home Care Services LLC
• Devotion Medical Supply, Inc.
• DHP of Piedmont PC
• Nimish Naresh Dhruva, MD
• Yancy T. Dials, MS
• Dialysis Clinic Inc.
• Diamond Counseling and Coaching, LLC

• Licensed Practical Nurse in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.