J. RENA OWSLEY-BROWN (NPI# 1801068754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801068754 |
| Entity Type | Organization |
| Organization Name | J. RENA OWSLEY-BROWN |
| Practice Address |
1275 Highway 54 W Suite 204 Fayetteville GA 30214-4549 |
| Practice Telephone | 7704615500 |
| Practice Fax Number | 7704611033 |
| Mailing Telephone | 7704615500 |
| Mailing Fax Number | 7704611033 |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |
| Authorized Official Name | J. RENA OWSLEY-BROWN (DENTIST/OWNER) |
| Authorized Official Telephone | 7704615500 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DNO12893 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | DORAL | 110289 | 01 |
| Street Address |
1275 HIGHWAY 54 W SUITE 204 |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-4549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619962503 | P E T Imaging of Fayette LLC | Radiology | 1275 Highway 54 W, Ste 102, Fayetteville, GA 30214-4549 | 2005-09-16 |
| 1952843013 | William Matthew Mowery | Physical Therapy Assistant | 1275 Highway 54 W, Ste 200, Fayetteville, GA 30214-4549 | 2016-11-07 |
| 1013311224 | Drayton Thomas Perkins | Physical Therapist | 1275 Highway 54 W, Ste 200, Fayetteville, GA 30214-4549 | 2014-10-17 |
| 1609283225 | Matthew Watson | Physical Therapist | 1275 Highway 54 W, Ste 200, Fayetteville, GA 30214-4549 | 2014-07-15 |
| 1467888560 | Daniel John Voight | Physical Therapist | 1275 Highway 54 W, Ste 200, Fayetteville, GA 30214-4549 | 2013-09-20 |
| 1881932010 | Georgia Urology Pa | Urology | 1275 Highway 54 W, Suite 205, Fayetteville, GA 30214-4549 | 2013-01-23 |
| 1457686917 | Aaron H Honeycutt | Physical Therapist | 1275 Highway 54 W, Suite 200, Fayetteville, GA 30214-4549 | 2009-10-16 |
| 1982838561 | Anthony Joseph Braim | Physical Therapist | 1275 Highway 54 W, Ste 200, Fayetteville, GA 30214-4549 | 2009-05-11 |
| 1447402086 | John W Sims | Nurse Practitioner | 1275 Highway 54 W, Suite 200, Fayetteville, GA 30214-4549 | 2008-10-15 |
| 1982877197 | Sleep Services of America | Clinical Medical Laboratory | 1275 Highway 54 W, Suite 203, Fayetteville, GA 30214-4549 | 2008-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346898335 | Chaitanya Joopally Dds Pllc | Dentist | 2050 Skibo Rd. Ste 104, Fayetteville, NC 28314 | 2019-09-03 |
| 1972151439 | Ikenna K Okons | Dentist | 4200 Morganton Rd Ste 304, Fayetteville, NC 28314-1564 | 2019-08-28 |
| 1114488079 | Bianca Kristina Adams | Dentist | 207 Forest Creek Dr, Fayetteville, NC 28303-5496 | 2019-03-25 |
| 1194226506 | Michael E. Carter, Dds, Pllc | Dentist | 1874 N Hunters Rdg Ste 1, Fayetteville, AR 72701-2896 | 2018-02-22 |
| 1760900153 | Elali Alisha Marie Moukwa | Dentist | 1916 Skibo Rd Ste C3, Fayetteville, NC 28314 | 2017-09-06 |
| 1548781107 | Christopher Heard | Dentist | 265 N Jeff Davis Dr Ste 1a, Fayetteville, GA 30214-1668 | 2017-07-03 |
| 1881123305 | Kenneth Boyd Lewis Jr. | Dentist | 4140 Ramsey St Ste 104, Fayetteville, NC 28311-7658 | 2017-06-08 |
| 1518496215 | Van Michael Mcqueen Jr. | Dentist | 640 N Garland Ave # 104, Fayetteville, AR 72701 | 2017-06-06 |
| 1710415229 | Alan Kuo | Dentist | 1400 Walter Reed Rd Ste 200, Fayetteville, NC 28304 | 2017-05-28 |
| 1508304866 | Karan G Mirchandani | Dentist | 4251 Ramsey St Ste 8, Fayetteville, NC 28311-2130 | 2017-02-07 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.