Dennis Dukes, DO
Individual provider Active NPI Emergency Medicine Physician · Toccoa, GA
NPI 1144203290 · NPPES record last updated May 16, 2008
Key facts
- NPI
- 1144203290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 027538 (GA)
- Practice address
- 2003 Falls Rd
Toccoa, GA 30577-9700 - Phone
- (706) 282-4363
- NPI assigned
- Nov 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111024000203 | GA | Practitioner - Emergency Medicine | 4688847411 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027538 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephens County Hospital Authority | Current |
Accepting new patients | |
| Stephens County Hospital Authority | Current |
Accepting new patients | |
| Stephens County Pathology Associates LLC | Current | Accepting new patients |
Locations
163 Hospital Dr
Toccoa, GA 30577
Phone (706) 282-4200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 027538 | GA | Yes |
Addresses
Primary practice location
2003 Falls Rd
Toccoa, GA 30577-9700
Mailing address
163 Hospital Dr
Toccoa, GA 30577-6820
Phone (706) 282-4363
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000316126I | Medicaid | GA | |
| HBP931 | Medicaid | GA |
Other providers in Toccoa, GA
- Valerie Rebecca Defoor
- Larayne Demann
- Travis Weldon Dobbs
- Polly W Doss
- Suzanna G Duckett
- Ashley Dunson
- Kaitlyn Durr-Santos
- Paul Edmunds Easley
- Easy Living Personal Care Home
- Robert Donald Edmonds
All providers in Toccoa, GA · Emergency Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.