Individual provider Active NPI

Dontricia Jeante Dunnum, RN,CMLDT

  • General Practice Registered Nurse
  • Tucker, GA
National Provider Identifier
1780551499
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
233428 Issued in GA
Practice address
2206 Hanfred LN Ste 104
Tucker, GA 30084-4809
Phone
(404) 829-0260
NPI assigned
Oct 20, 2025
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 233428 GA
General Practice Registered Nurse 163WG0000X 233428 GA Primary
Nurse Massage Therapist (NMT) 163WM1400X 233428 GA
Plastic Surgery Registered Nurse 163WS0121X 233428 GA
Wound Care Registered Nurse 163WW0000X 233243 GA

Addresses

Primary practice location

2206 Hanfred LN Ste 104
Tucker, GA 30084-4809

Mailing address

2206 Hanfred LN Ste 104
Tucker, GA 30084-4809
Phone (404) 829-0260

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
233428GAMDNurse Massage Therapist (NMT)
233243GAMDWound Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1780551499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 HANFRED LN STE 104",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844809",
            "telephone_number": "404-829-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 HANFRED LN STE 104",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844809",
            "telephone_number": "404-829-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNNUM",
        "first_name": "DONTRICIA",
        "middle_name": "JEANTE",
        "credential": "RN,CMLDT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "GA",
            "license": "233428",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "GA",
            "license": "233428",
            "primary": true
        },
        {
            "code": "163WM1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "GA",
            "license": "233428",
            "primary": false
        },
        {
            "code": "163WS0121X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Plastic Surgery",
            "state": "GA",
            "license": "233428",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "GA",
            "license": "233243",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.