Dwan Shirmelle Mabry, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

MD.022096 Issued in LA

Practice address

15748 Medical Arts Dr
Hammond, LA 70403-1446

Phone

(985) 542-0663

Fax

(985) 542-7010

NPI assigned

Jun 28, 2005

Last updated

Sep 19, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dawn Shirmelle Mabry Professional name

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Obstetrics/Gynecology

Education

Louisiana State University School of Medicine in New Orleans, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Oaks Obstetrics and GynecologyGroup PAC ID 7618976440, 2 clinicians

Lallie Kemp Medical CtrGroup PAC ID 0345238903, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lallie Kemp Medical Center Hospital, Independence, LA, CCN 191321
• North Oaks Medical Center Hospital, Hammond, LA, CCN 190015

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Lallie Kemp Medical Ctr

  dba Lallie Kemp Regional Medical Center

  • Critical Access Hospital
  • Independence, LA
  • NPI 1558303420
  Medicare reassignment Care Compare group NPD
• North Oaks Obstetrics & Gynecology

  • Obstetrics Physician
  • Hammond, LA
  • NPI 1659313245
  Medicare reassignment Care Compare group NPD
• Baton Rouge General Medical Center

  dba Baton Rouge General Surgical Associates

  • Surgery Physician
  • Baton Rouge, LA
  • NPI 1215199724
  Medicare reassignment NPD
• DHP of Louisiana PC

  • Obstetrics & Gynecology Physician
  • Alexandria, LA
  • NPI 1013303056
  Medicare reassignment NPD
• Mabry Womens Health

  • Gynecology Physician
  • Hammond, LA
  • NPI 1578411286
  NPD Authorized official
• North Oaks Obstetrics & Gynecology

  • Registered Dietitian
  • Hammond, LA
  • NPI 1710239017
  Authorized official Same address or phone
• Baton Rouge General Medical Center

  dba Baton Rouge General Hospital Specialists

  • Neurological Surgery Physician
  • Baton Rouge, LA
  • NPI 1285887844
  NPD
• Baton Rouge General Medical Center

  dba BRG Comprehensive Care Center

  • Gastroenterology Physician
  • Baton Rouge, LA
  • NPI 1407346984
  NPD
• Lallie Kemp Medical Ctr

  dba Lallie Kemp Regional Medical Center

  • Critical Access Hospital
  • Independence, LA
  • NPI 1972545846
  NPD
• North Oaks Medical Center, LLC

  • Rural Acute Care Hospital
  • Hammond, LA
  • NPI 1144227539
  NPD (past)
• North Oaks Obstetrics & Gynecology

  • Gynecology Physician
  • Hammond, LA
  • NPI 1396897062
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

• Lallie Kemp Medical Center

  dba Lallie Kemp CommCare

  • General Acute Care Hospital
  • Independence, LA
  • NPI 1366767774
  Care Compare affiliation
• Lallie Kemp Medical Ctr

  dba Lallie Kemp Regional Medical Center

  • Critical Access Hospital
  • Independence, LA
  • NPI 1083661409
  Care Compare affiliation
• North Oaks Medical Center, LLC

  • Rural Acute Care Hospital
  • Hammond, LA
  • NPI 1144227539
  Care Compare affiliation

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1104822782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15748 MEDICAL ARTS DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031446",
            "telephone_number": "985-542-0663",
            "fax_number": "985-542-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15748 MEDICAL ARTS DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031446",
            "telephone_number": "985-542-0663",
            "fax_number": "985-542-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABRY",
        "first_name": "DWAN",
        "middle_name": "SHIRMELLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "LA",
            "license": "MD.022096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1491853",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "MABRY",
            "middle_name": "SHIRMELLE",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Luxottica Retail North America Inc (Sears Optical #0978)
• Lynn Lane Community Home
• Mollie Lynn, LCSW
• Alyssa Colleen Lyon, M.D.
• Mabry Womens Health
• Sarah Maddox
• Judith M Mader, LCSW
• Misti Elizabeth Magee
• Michael Robert Maher, M.D.
• Whitney Nicole Main Allen, DO

• Gynecology Physician in Hammond, LA
• Providers in Hammond, LA by specialty
• Gynecology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.