Individual provider Active NPI

Leslie McGuinn Davis, D.M.D.

  • General Practice Dentistry
  • Dawsonville, GA
National Provider Identifier
1922204031
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN013692 Issued in GA
Practice address
2390 Thompson Rd
Suite 200
Dawsonville, GA 30534-7533
Phone
(706) 265-1399
Fax
(706) 265-1504
NPI assigned
Jun 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN013692 GA Primary
Dentist 122300000X 8514 KY

Addresses

Primary practice location

2390 Thompson Rd
Suite 200
Dawsonville, GA 30534-7533

Mailing address

2390 Thompson Rd
Suite 200
Dawsonville, GA 30534-7533
Phone (706) 265-1399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2019 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8514KYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412294400000",
    "number": "1922204031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 THOMPSON RD",
            "address_2": "SUITE 200",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305347533",
            "telephone_number": "706-265-1399",
            "fax_number": "706-265-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 THOMPSON RD",
            "address_2": "SUITE 200",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305347533",
            "telephone_number": "706-265-1399",
            "fax_number": "706-265-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUINN DAVIS",
        "first_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2014-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013692",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "8514",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dawsonville, GA

Sources for this page

Verify at the official NPI Registry.