Eugene Irvin Rowell III, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN122634 Issued in GA

Practice address

2711 Windemere Dr
Valdosta, GA 31602-1696

Phone

(229) 247-0437

Fax

(229) 242-4395

NPI assigned

Jul 5, 2019

Last updated

Oct 19, 2022By the provider in NPPES

Sex

Male

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

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1790347185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 WINDEMERE DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021696",
            "telephone_number": "229-247-0437",
            "fax_number": "229-242-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 WINDEMERE DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021696",
            "telephone_number": "229-247-0437",
            "fax_number": "229-242-4395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Bowens Mill Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "GA",
            "postal_code": "315332252",
            "country_code": "US",
            "telephone_number": "912-384-6083",
            "fax_number": "229-242-4395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROWELL",
        "first_name": "EUGENE",
        "middle_name": "IRVIN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-05",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "7033",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "DN122634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Rothenhofer, CCC-SLP
• Holly L. Rountree, LICENSED DIETITIAN
• Marla Rountree, LPC
• Catherine Campagna Rouse, LCSW
• Shelby Roussel
• Janis Rowland
• Tasha Royal
• McKenzi Royals, CF-SLP
• Ivie Rozier, PHARM D
• Leslie Ann Ruff, LMSW

• Periodontics in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Periodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.