Active NPI
Joann Smith Dean, MSW, BCC
- Contractor
- Conyers, GA
National Provider Identifier
1821608787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 768
- Practice address
- 1878 Millstream Holw
Conyers, GA 30012-3504 - Phone
- (770) 634-0910
- NPI assigned
- Aug 5, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 768 | GA | Primary |
Addresses
Primary practice location
1878 Millstream Holw
Conyers, GA 30012-3504
Mailing address
1878 Millstream Holw
Conyers, GA 30012-3504
Phone (770) 634-0910
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
| License | State | Type | Specialty |
|---|---|---|---|
| 768 | GA | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596585600000",
"number": "1821608787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1878 MILLSTREAM HOLW",
"city": "CONYERS",
"state": "GA",
"postal_code": "300123504",
"telephone_number": "770-634-0910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1878 MILLSTREAM HOLW",
"city": "CONYERS",
"state": "GA",
"postal_code": "300123504",
"telephone_number": "770-634-0910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "JOANN",
"middle_name": "SMITH",
"credential": "MSW, BCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-05",
"last_updated": "2020-08-05",
"certification_date": "2020-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "GA",
"license": "768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.