DR. JERRY GUWAYNE EZELL DDS
NPI 1720153729
Dentist - General Practice in Tallulah, LA

Q: What is Jerry Ezell's NPI number?

The NPI number for Jerry Ezell is 1720153729. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Q: What is Jerry Ezell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Ezell was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 22, 2006PECOS Enrolled

1403 JOHNSON ST, TALLULAH, LA 71282(318) 574-0765(318) 493-5085 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jerry Guwayne Ezell Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERRY GUWAYNE EZELL DDS (NPI 1720153729) is an individual general practice provider in Tallulah, Louisiana, licensed in Louisiana (4479) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720153729

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JERRY GUWAYNE EZELLCredential: DDS

Location Address1403 JOHNSON STTallulah, LA 71282-5513

Mailing Address1403 Johnson StTallulah, LA 71282-5513 · (318) 574-0765 · Fax (318) 493-5085

Phone(318) 574-0765

Fax(318) 493-5085

Sole ProprietorNo

Enumeration DateNovember 22, 2006

Last NPPES UpdateSeptember 21, 2022

NPPES CertifiedSeptember 21, 2022

✔ NPI 1720153729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in LA · 4479

Definition

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.

1403 JOHNSON ST, Tallulah, LA 71282

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jerry Guwayne Ezell Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71282 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$67.06 typical visit price

range $16.64 – $133.62

Typical copayment $16.76 (range $4.16 – $33.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JENNIFER N BOLES, DDS,LLC

Dentist

1403 JOHNSON ST
TALLULAH, LA 71282

Madison Parish (318) 341-1242

JOSEPH W. YERGER

Dentist (General Practice)

1403 JOHNSON ST
TALLULAH, LA 71282

Madison Parish (318) 574-0765

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Ezell's NPI number?

The NPI number for Jerry Ezell is 1720153729. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Jerry Ezell located?

Jerry Ezell practices at 1403 Johnson St, Tallulah, LA 71282. The listed phone number is (318) 574-0765.

What is Jerry Ezell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jerry Ezell enrolled in Medicare?

Yes. Jerry Ezell is registered in the Medicare PECOS enrollment system.

What insurance does Jerry Ezell accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 8 other insurers list Jerry Ezell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerry Ezell was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.