Stacey Marie McDowell, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN15411 Issued in GA

Practice address

865 S Carroll Rd Ste C
Villa Rica, GA 30180-7056

Phone

(770) 459-4131

NPI assigned

Jun 15, 2017

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

Locations

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.

• McDowell & Co., LLC

  • General Practice Physician
  • Villa Rica, GA
  • NPI 1154029114
  NPD Authorized official
• Villa Rica Family Dental

  • General Practice Dentistry
  • Villa Rica, GA
  • NPI 1780832386
  NPD (past)

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676764800000",
    "number": "1669902292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 CREEKRISE PL",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302682096",
            "telephone_number": "404-884-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 S CARROLL RD STE C",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301807056",
            "telephone_number": "770-459-4131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1647 Admiral Taussig Blvd",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235112803",
            "country_code": "US",
            "telephone_number": "757-953-8571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDOWELL",
        "first_name": "STACEY",
        "middle_name": "MARIE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2023-02-19",
        "certification_date": "2023-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015411",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN15411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betsy McCowen, PHARM. D.
• Sherri J. McCoy, L.P.C.
• Linda R McDaniel, CNM
• Melinda Schillinger McDonald, P.T.
• McDowell & Co., LLC
• Patrick T McKay, LPC
• Wesley Douglas McKenzie, PHARMD
• Carollynn McMahan, MED, CCC-SLP
• Celina Monique McMillian
• Kalene McSwain Faulkner

• Dentist in Villa Rica, GA
• Providers in Villa Rica, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2023; 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.