Individual provider Active NPI

Joseph Bret Owens, MD

  • General Practice Physician
  • Richmond Hill, GA
National Provider Identifier
1770103186
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
98691 Issued in GA
Practice address
11258 Ford Ave Ste 13
Richmond Hill, GA 31324-8880
Phone
(407) 456-2031
Fax
(912) 514-0045
NPI assigned
Apr 26, 2020
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X GA
Internal Medicine Physician 207R00000X 98691 GA
General Practice Physician 208D00000X 98691 GA Primary

Addresses

Primary practice location

11258 Ford Ave Ste 13
Richmond Hill, GA 31324-8880

Mailing address

305 Logging Hill Dr
Richmond Hill, GA 31324-6841
Phone (407) 456-2031

Other practice location 1

305 Logging Hill Dr
Richmond Hill, GA 31324-6841
Phone (407) 456-2031

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
98691GAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1587859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1770103186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 LOGGING HILL DR",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313246841",
            "telephone_number": "407-456-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11258 FORD AVE STE 13",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313248880",
            "telephone_number": "407-456-2031",
            "fax_number": "912-514-0045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 Logging Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Richmond Hill",
            "state": "GA",
            "postal_code": "313246841",
            "country_code": "US",
            "telephone_number": "407-456-2031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "JOSEPH",
        "middle_name": "BRET",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-26",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "98691",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "98691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.