Individual provider Active NPI

Dwight Antonio Owens, M.D.

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1518989433
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
043105 Issued in GA
Practice address
1720 Peachtree St NW
Suite 640
Atlanta, GA 30309-2451
Phone
(404) 575-4785
Fax
(404) 575-4786
NPI assigned
Jul 24, 2006
Last updated
Aug 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 043105 GA Primary

Addresses

Primary practice location

1720 Peachtree St NW
Suite 640
Atlanta, GA 30309-2451

Mailing address

1720 Peachtree St NW
Peachtree 25TH Building Ste 924
Atlanta, GA 30309-2451
Phone (404) 575-4785

Other identifiers 1

IdentifierTypeStateIssuer
00851309AMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101101001001 GA Practitioner - Psychiatry 5698969939 Reassigns benefits to 1 organization
Practice locations: Atlanta, GA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health Services of Central GeorgiaGroup PAC ID 9638076730, 300 clinicians

Practice addresses (Care Compare)

1120 Morningside Dr
Perry, GA 31069-2906
Phone (478) 987-3600

1720 Peachtree St NW
Suite 640
Atlanta, GA 31131-0840
Phone (404) 575-4785

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Health Services of Central Georgia, Inc CurrentSince Mar 1, 2021 Accepting new patients
Fulton County Mhddad Past Accepting new patients
Fulton County Mental Health Center Past Accepting new patients
Peachstate Psychiatric Services, Inc. PastSince Jan 1, 2000 Accepting new patients

Locations

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

Interoperability endpoints

  • Direct secure messaging: dowens460978@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1518989433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 PEACHTREE ST NW",
            "address_2": "PEACHTREE 25TH BUILDING STE 924",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092451",
            "telephone_number": "404-575-4785",
            "fax_number": "404-575-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 PEACHTREE ST NW",
            "address_2": "SUITE 640",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092451",
            "telephone_number": "404-575-4785",
            "fax_number": "404-575-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "DWIGHT",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "043105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00851309A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.