David Merica Powell, OTR

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

Practice address

300 E Hospital Rd
Ft Gordon, GA 30905

Phone

(706) 787-7448

NPI assigned

Nov 6, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1932353745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E HOSPITAL RD",
            "address_2": "OCCUPATIONAL THERAPY",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "30905",
            "telephone_number": "706-787-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E HOSPITAL RD",
            "city": "FT GORDON",
            "state": "GA",
            "postal_code": "30905",
            "telephone_number": "706-787-7448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3851 Roger Brooke Drive",
            "address_2": "MCHE-QD (Creds)",
            "address_purpose": "LOCATION",
            "city": "Fort Sam Houston",
            "state": "TX",
            "postal_code": "782346200",
            "country_code": "US",
            "telephone_number": "210-916-5805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "DAVID",
        "middle_name": "MERICA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-06",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline D Plummer, BSN, RN
• Tamara Polidore-Leconte, OTR
• Elizabeth Lee Pollock, LCSW-C
• Kelly Denise Poole
• Clyte Lydia Portis, LCSW, LISW-CP
• Tyler Alexander Powell, M.D.
• Beth R Powers, RDH
• Hosamane S Prabhakara, MD
• Christopher Shane Pritchard
• Dan Melbourne Prucha, DDS

• Military Health Care Provider in Ft Gordon, GA
• Providers in Ft Gordon, GA by specialty
• Military Health Care Provider in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.