Active NPI
John S Dawson, MD
- Family Medicine Physician
- Charlotte, NC
National Provider Identifier
1043328370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9500550
- Practice address
- 445 S Kings Dr
Charlotte, NC 28204-3041 - Phone
- (980) 308-0141
- Fax
- (980) 308-3041
- NPI assigned
- Aug 28, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9500550 | NC | |
| Family Medicine Physician | 207Q00000X | 9500550 | NC | Primary |
Addresses
Primary practice location
445 S Kings Dr
Charlotte, NC 28204-3041
Mailing address
PO Box 601843
Charlotte, NC 28260-1843
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8927540 | Medicaid | NC | |
| 30701 | Other | CANADA MEDICAL LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jdawson29842@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- jdawson29842@direct.novanthealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603584000000",
"number": "1043328370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601843",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 S KINGS DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043041",
"telephone_number": "980-308-0141",
"fax_number": "980-308-3041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "JOHN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-28",
"last_updated": "2020-10-25",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "9500550",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "9500550",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8927540",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CANADA MEDICAL LICENSE",
"identifier": "30701",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jdawson29842@direct.novanthealth.org",
"affiliation": "N",
"address_1": "445 S Kings Dr",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282043041",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.