Kaillie Brooke Powell, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Practice address

101 Mayo St Ste a&B
Americus, GA 31709-3695

Phone

(229) 924-4647

NPI assigned

Aug 12, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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.

• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Richland, GA
  • NPI 1063436624
  NPD (past)

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1629809504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MAYO ST STE A&B",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093695",
            "telephone_number": "229-924-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MAYO ST STE A&B",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093695",
            "telephone_number": "229-924-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "KAILLIE",
        "middle_name": "BROOKE",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "GA",
            "license": "DH045491",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevia Pless
• Connie Leigh Poole, M.A.
• Lezlie Nicole Poole, B.A.,CPS, CPS-WH
• Monica Pope, MHP, DDP
• Leo Pouliot, FNP-C
• Rachel Price, LC, DOULA, CE, NCS
• Ramona J Price, RN-BC
• Tanya Price, LPN
• Karen Pritchett, CCC-SLP
• Professional Counseling Services of Americus, Inc.

• Dental Hygienist in Americus, GA
• Providers in Americus, GA by specialty
• Dental Hygienist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.