Sheira Dennis

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

3828 Martingale Dr SE
Conyers, GA 30094

Phone

(678) 905-1500

Fax

(678) 905-1337

NPI assigned

Jul 28, 2017

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679097992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3828 MARTINGALE DR SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300944195",
            "telephone_number": "678-905-1500",
            "fax_number": "678-905-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 MARTINGALE DR SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30094",
            "telephone_number": "678-905-1500",
            "fax_number": "678-905-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "SHEIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "GA",
            "license": "SC17028",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Delp, D.O.
• Shameka Demps
• Rose Denaut
• Dawn Renee Dennis, NP
• Natasha Dennis, RBT
• Sylvia Denson, PHD
• Dental Wellness Center of Conyers, LLC
• Amit M Deokar, MD, MPH
• Alan A Derrick-Griffith, DMD
• Roopal Anil Desa, MD

• Early Intervention Provider Agency in Conyers, GA
• Providers in Conyers, GA by specialty
• Early Intervention Provider Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.