Individual provider Active NPI

Pamela Fran Harris-Efurd, D.M.D.

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1700090487
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
09637 Issued in GA
Practice address
6667 Vernon Woods Dr NE
Suite a-19
Atlanta, GA 30328-3215
Phone
(404) 843-8431
Fax
(404) 843-8420
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 09637 GA Primary

Addresses

Primary practice location

6667 Vernon Woods Dr NE
Suite a-19
Atlanta, GA 30328-3215

Mailing address

6667 Vernon Woods Dr NE
Suite a-19
Atlanta, GA 30328-3215
Phone (404) 843-8431

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
09637GAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700090487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6667 VERNON WOODS DR NE",
            "address_2": "SUITE A-19",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283215",
            "telephone_number": "404-843-8431",
            "fax_number": "404-843-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6667 VERNON WOODS DR NE",
            "address_2": "SUITE A-19",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283215",
            "telephone_number": "404-843-8431",
            "fax_number": "404-843-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS-EFURD",
        "first_name": "PAMELA",
        "middle_name": "FRAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "09637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.