Active NPI
Lori Dunn, D.O.
- Pain Medicine (Anesthesiology) Physician
- Greensboro, GA
National Provider Identifier
1619976578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 61966
- Practice address
- 1023 Holts Ferry
Greensboro, GA 30642 - Phone
- (717) 418-0649
- Fax
- (706) 453-7180
- NPI assigned
- Jul 21, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 05-00555IL | PA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 61966 | GA | Primary |
| Pain Medicine Physician | 208VP0000X | 05-00555IL | PA | |
| Interventional Pain Medicine Physician | 208VP0014X | 61966 | GA |
Addresses
Primary practice location
1023 Holts Ferry
Greensboro, GA 30642
Mailing address
1023 Holts Ferry
Greensboro, GA 30642
Phone (717) 418-0649
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14257300003 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-00555IL | PA | MD | Anesthesiology Physician |
| 61966 | GA | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lori Dunn, D.O. | Anesthesiology | Past | Accepting new patients |
| W.D.Lucky, M.D., Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Miami, FL
- NPI 1396772224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319155200000",
"number": "1619976578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1023 HOLTS FERRY",
"city": "GREENSBORO",
"state": "GA",
"postal_code": "30642",
"telephone_number": "717-418-0649",
"fax_number": "706-453-7180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1023 HOLTS FERRY",
"city": "GREENSBORO",
"state": "GA",
"postal_code": "30642",
"telephone_number": "717-418-0649",
"fax_number": "706-453-7180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "LORI",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-21",
"last_updated": "2011-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "05-00555IL",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "GA",
"license": "61966",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "PA",
"license": "05-00555IL",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "GA",
"license": "61966",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "14257300003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.