Individual provider Active NPI

Dwight Garfield Dawkins, MD

  • Family Medicine Physician
  • Fort Pierce, FL
National Provider Identifier
1164492005
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME76631 Issued in FL
Practice address
2100 Nebraska Ave
Fort Pierce, FL 34950-4832
Phone
(772) 461-1191
Fax
(772) 461-1180
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME76631 FL Primary

Addresses

Primary practice location

2100 Nebraska Ave
Fort Pierce, FL 34950-4832

Mailing address

1801 SE Hillmoor Dr
Ste B-109
Port Saint Lucie, FL 34952-7550
Phone (772) 337-9473

Other identifiers 2

IdentifierTypeStateIssuer
44433OtherFLBLUE CROSS BLUE SHIELD
272573800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20100220000253 FL Practitioner - Family Practice 5991849507 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Miami, LM Miller School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Av Medical Center Inc.Group PAC ID 2264979723, 3 clinicians
MD 2 Go LLCGroup PAC ID 1759528532, 2 clinicians

Practice addresses (Care Compare)

1301 N Lawnwood Cir
Fort Pierce, FL 34950-4825
Phone (728) 900-8821

1700 SE Hillmoor Dr
Suite 102
Port Saint Lucie, FL 34952-7544
Phone (772) 777-2993

Hospital & facility affiliations

  • Treasure Coast Hospice of St Lucie Hospice, Fort Pierce, FL, CCN 101517
  • Treasure Coast Hospice of Martin Hospice, Stuart, FL, CCN 101510
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
  • Sandgate Gardens Rehab and Nursing Center Nursing home, Fort Pierce, FL, CCN 105382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME116133FLMDFamily Medicine Physician
ME76631FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida, Inc Current Accepting new patients
Dwight G. a. Dawkins, MD, PA Family Medicine CurrentSince Feb 1, 2010 Accepting new patients
Av Medical Center Inc. CurrentSince Jan 1, 2025 Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Jun 12, 2012 Accepting new patients
J.S. Davis L.L.C. Past Accepting new patients

Locations

1301 N Lawnwood Cir
Fort Pierce, FL 34950
Phone (772) 461-1191

700 S 29th St
Fort Pierce, FL 34947
Phone (772) 465-7560

2100 Nebraska Ave
Ste 201
Fort Pierce, FL 34950
Phone (772) 461-1191

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

1801 SE Hillmoor Dr
Ste B-109
Port St Lucie, FL 34952
Phone (772) 236-4409

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

2155 SE Federal Hwy
Stuart, FL 34994
Phone (772) 223-9630

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHJBCD/Endpoint/JHJBCD

Organizations & group practices 6

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

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1164492005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 SE HILLMOOR DR",
            "address_2": "STE B-109",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527550",
            "telephone_number": "772-337-9473",
            "fax_number": "772-337-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NEBRASKA AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504832",
            "telephone_number": "772-461-1191",
            "fax_number": "772-461-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWKINS",
        "first_name": "DWIGHT",
        "middle_name": "GARFIELD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME76631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "44433",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272573800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.