P Praxis·MD
● Active Type 1 · Individual

Beverly Egolum

Dentist·Milledgeville, GA· NPI 1093575169 · Enumerated 2024 · 2 years on NPI
Egolum is 1 of 13 dentist providers in Milledgeville and 1 of 4309 in Georgia.
NPI age
2 years
Enumerated 2024-03-19
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-09-20
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
2 years
↓ 16 yr below median (18 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-03Enumerated in NPPES
2024 2026

Where they practice

Practice location
1980 N Columbia St
Milledgeville, GA 310612020
📞 4787791298
Mailing address
1980 N Columbia St
Milledgeville, GA 310612020

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 #DN123901 taxonomy 1223G0001X

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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