Dearl V Birdsong Jr., M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

063171 Issued in GA

Practice address

218 Falls Rd
Toccoa, GA 30577-1631

Phone

(706) 297-7877

Fax

(877) 586-0142

NPI assigned

Apr 25, 2006

Last updated

May 17, 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 2

Medicare fee-for-service enrollment

Enrolled in GA, AL2 enrollments

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 2

Specialty

General Surgery

Education

University of Alabama School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DMC Physician Group LLCGroup PAC ID 8628296845, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dorminy Medical Center Hospital, Fitzgerald, GA, CCN 110073
• Tift Regional Medical Center Hospital, Tifton, GA, CCN 110095
• Dorminy Medical Center Hospital, Fitzgerald, GA, CCN 111339

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dbirdsong2992868@carolinashealthcaresystem.direct-ci.com
• FHIR API: https://api.platform.athenahealth.com/10998/brand/1/csg/1/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.

• DMC Physician Group LLC

  • Multi-Specialty Clinic/Center
  • Fitzgerald, GA
  • NPI 1124430020

  Surgery

  Medicare reassignment Care Compare group NPD
• Health Services of Central Georgia, Inc

  dba Atrium Health Navicent Medical Group

  • Multi-Specialty Clinic/Center
  • Macon, GA
  • NPI 1184679482

  Surgery

  Medicare reassignment NPD
• Prime Healthcare Services-Gadsden Physician Management LLC

  • Family Medicine Physician
  • Gadsden, AL
  • NPI 1356731467
  Medicare reassignment NPD
• DMC Physician Group LLC

  dba DMC Primary Care

  • Rural Health Clinic/Center
  • Fitzgerald, GA
  • NPI 1922672120
  NPD
• DMC Physician Group LLC

  dba DMC Internal and Family Medicine Clinic

  • Rural Health Clinic/Center
  • Fitzgerald, GA
  • NPI 1821662008
  NPD (past)
• Anniston General Surgery Center, P.C.

  • Surgery Physician
  • Anniston, AL
  • NPI 1750457172
  NPD (past)
• Desselle Surgical Clinic, LLC

  • Specialist
  • Muscle Shoals, AL
  • NPI 1992938930

  Surgery

  NPD (past)
• Surgical Associates of the Shoals, PC

  • Specialist
  • Sheffield, AL
  • NPI 1790879559
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Authority of Ben Hill

  dba Dorminy Medical Center

  • Critical Access Hospital
  • Fitzgerald, GA
  • NPI 1245248624
  Care Compare affiliation
• Tift Regional Health System Inc.

  dba Tift Regional Medical Center

  • General Acute Care Hospital
  • Tifton, GA
  • NPI 1962462226
  Care Compare affiliation

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1093771545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 FALLS RD",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305771631",
            "telephone_number": "706-297-7877",
            "fax_number": "877-586-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 FALLS RD",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305771631",
            "telephone_number": "706-297-7877",
            "fax_number": "877-586-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRDSONG",
        "first_name": "DEARL",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "063171",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "25152",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NEW ISSUE",
            "identifier": "51112487",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000044337A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Baldwin
• Krista Leigh Barker, PH.D, LCSW, BCETS
• Carol P. Bennett, RPH
• Jennifer S Bennett, NP-C
• Allison Wise Bentley
• Andrea Black, APRN
• Cheryl Bolmon
• Jennifer Spruill Brawner, PHARM. D., MHA, BCAC
• Siobhan Brennan
• Karla Streeter Brookreson Owens, LCSW

• Surgery Physician in Toccoa, GA
• Providers in Toccoa, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.