Active NPI
Sheila Ann Gowdy, OD
- Optometrist
- Douglasville, GA
National Provider Identifier
1669550034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 001760
- Practice address
- 9412 Parkwood Ave
Douglasville, GA 30135 - Phone
- (770) 920-9144
- Fax
- (770) 987-6828
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 001760 | GA | Primary |
| Optometrist | 152W00000X | 006074 | NY |
Addresses
Primary practice location
9412 Parkwood Ave
Douglasville, GA 30135
Mailing address
9412 Parkwood Ave
Douglasville, GA 30135
Phone (770) 920-9144
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001760 | GA | MD | Professional Counselor |
| 006074 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348444800000",
"number": "1669550034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9412 PARKWOOD AVE",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "30135",
"telephone_number": "770-920-9144",
"fax_number": "770-987-6828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9412 PARKWOOD AVE",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "30135",
"telephone_number": "770-920-9144",
"fax_number": "770-987-6828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOWDY",
"first_name": "SHEILA",
"middle_name": "ANN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2012-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "001760",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "006074",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.