Active NPI
David Lee Dobson Jr., M.D.
- Psychiatry Physician
- Hinesville, GA
National Provider Identifier
1023008141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 057160
- Practice address
- 500 E Oglethorpe Hwy
Hinesville, GA 31313-2804 - Phone
- (912) 408-2900
- NPI assigned
- Oct 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A83374 | CA | |
| Psychiatry Physician | 2084P0800X | 057160 | GA | Primary |
Addresses
Primary practice location
500 E Oglethorpe Hwy
Hinesville, GA 31313-2804
Mailing address
500 E Oglethorpe Hwy
Hinesville, GA 31313-2804
Phone (912) 408-2900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170206002683 | GA | Order and Referring Only - Psychiatry | 9032255690 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A83374 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484265600000",
"number": "1023008141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E OGLETHORPE HWY",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313132804",
"telephone_number": "912-408-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E OGLETHORPE HWY",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313132804",
"telephone_number": "912-408-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBSON",
"first_name": "DAVID",
"middle_name": "LEE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2017-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A83374",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "057160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hinesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.