Individual provider Active NPI

Hilary Elizabeth Dowdall, MB BCH BAO

  • Family Medicine Physician
  • East Point, GA
National Provider Identifier
1649699257
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
77122 Issued in GA
Practice address
2084 Headland Dr
East Point, GA 30344-2135
Phone
(404) 965-5691
NPI assigned
Apr 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 77122 GA Primary

Addresses

Primary practice location

2084 Headland Dr
East Point, GA 30344-2135

Mailing address

1395 NW 167TH St
Miami, FL 33169-5710
Phone (404) 965-5691

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

State licenses

LicenseStateTypeSpecialty
7307GAMDGeneral Practice Dentistry
77122GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PMR Georgia Holding, LLC CurrentSince Apr 1, 2021 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

1325 Ralph David Abernathy Blvd SW
Atlanta, GA 30310
Phone (404) 419-0184

3371 Buford Hwy NE
Brookhaven, GA 30329
Phone (404) 419-0180

2124 Candler Rd
Decatur, GA 30032
Phone (404) 836-0272

2084 Headland Dr
East Point, GA 30344
Phone (404) 419-0184

1331 Mount Zion Rd
Morrow, GA 30260
Phone (404) 419-0184

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1649699257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "404-965-5691",
            "fax_number": "404-965-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2084 HEADLAND DR",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303442135",
            "telephone_number": "404-965-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWDALL",
        "first_name": "HILARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MB BCH BAO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-10",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "77122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.