P Praxis·MD
● Active Type 1 · Individual

DR. Jimmie Powell III, DDS

Dentist·Athens, GA· NPI 1093374795 · Enumerated 2019 · 6 years on NPI
Powell is 1 of 54 dentist providers in Athens and 1 of 4309 in Georgia.
NPI age
6 years
Enumerated 2019-06-07
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
GA, NC
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-04-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4309 active dentist providers in Georgia.

NPI age
6 years
↓ 12 yr below median (18 yr)
State licenses
2 states
Top 93% — 6% of peers are multi-state
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-06Enumerated in NPPES
2019 2026

Where they practice

Practice location
5435 Jefferson Rd Ste 400
Athens, GA 306071732
📞 7062478800
Mailing address
5435 Jefferson Rd Ste 400
Athens, GA 306071732
📞 7062478800

Specialties

  • Dentist Primary
    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.
    GA license #DN122990NC license #11414 taxonomy 1223G0001X

Identifiers

TypeValueNotes
01 (NC) 11414 LICENSE
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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