Damien Antoine Doute, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

053852 Issued in GA

Practice address

1462 Montreal Rd
Ste 218
Tucker, GA 30084-6929

Phone

(470) 294-0863

Fax

(470) 294-0889

NPI assigned

Oct 4, 2005

Last updated

Sep 2, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: damien.doute@gadirect.net
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St. Francis Physician Practices LLC

  dba St. Francis Primary Care

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1326749417
  Medicare reassignment NPD
• Spine and Orthopedics of Atlanta, LLC

  • Medical Specialty Clinic/Center
  • Tucker, GA
  • NPI 1265802318
  Authorized official Same address or phone
• Dekalb Medical Center, Inc.

  dba Emory Decatur Hospital

  • General Acute Care Hospital
  • Decatur, GA
  • NPI 1093716979
  NPD
• St Francis Physician Practices LLC

  dba SFH Electrophysiologist Group

  • Clinical Cardiac Electrophysiology Physician
  • Columbus, GA
  • NPI 1982079323
  NPD
• St. Francis Physician Practices LLC

  • Gastroenterology Physician
  • Columbus, GA
  • NPI 1609655646
  NPD
• Dekalb Medical Specialty Care Group LLC

  • Neurology Physician
  • Decatur, GA
  • NPI 1063663037
  NPD (past)
• Carolina Orthopaedic & Sports Medicine Center PA

  • Orthopaedic Surgery Physician
  • Gastonia, NC
  • NPI 1255380143
  NPD (past)
• Carolina Orthopaedic & Sports Medicine Center PA

  • Durable Medical Equipment & Medical Supplies
  • Belmont, NC
  • NPI 1306644521
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1033106158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1462 MONTREAL ROAD",
            "address_2": "STE 218",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846929",
            "telephone_number": "470-294-0863",
            "fax_number": "404-294-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 MONTREAL RD",
            "address_2": "STE 218",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846929",
            "telephone_number": "470-294-0863",
            "fax_number": "470-294-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUTE",
        "first_name": "DAMIEN",
        "middle_name": "ANTOINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "053852",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "53852",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "728513163A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Enoch Dopson, M.D.
• Anthony Dorsey, MD
• Beverly Dotson, PHARMD
• Douglas R Wurster, DDS, PC
• Jessica Knight Douglas
• Crystal Yvonne Downs, MA, CCC-SLP
• Dr. Tracy Snowden O.D., P.C.
• Amy Suzanne Duggan, PHARM.D.
• Adjoa B Duker, M.D., M.P.H.
• Emily Dunn

• Specialist in Tucker, GA
• Providers in Tucker, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.

Verify at the official NPI Registry.