Dashawn Bakari, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2257 Issued in GA

Practice address

6584 Professional PL
Suite a
Riverdale, GA 30274-4942

Phone

(770) 477-1115

Fax

(770) 477-1119

NPI assigned

Jan 30, 2008

Sex

Male

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 6

Medicare fee-for-service enrollment

Enrolled in GA

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

Physical Medicine and Rehabilitation

Education

Louisiana State University School of Medicine in New Orleans, 2005

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Life Orthopaedic & Spine Center

  • Specialist
  • Riverdale, GA
  • NPI 1922337120
  Medicare reassignment NPD Authorized official
• Life Orthopaedic & Spine Center

  • Physical Medicine & Rehabilitation Physician
  • Dunwoody, GA
  • NPI 1801282546
  NPD Authorized official
• CF Health Management

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Gainesville, GA
  • NPI 1154579191
  NPD (past)
• The Pain Management Clinic of Woodstock

  • Specialist
  • Gainesville, GA
  • NPI 1134374259
  NPD (past)

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1184801276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190306",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311190306",
            "telephone_number": "770-477-1115",
            "fax_number": "770-477-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6584 PROFESSIONAL PL",
            "address_2": "SUITE A",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302744942",
            "telephone_number": "770-477-1115",
            "fax_number": "770-477-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKARI",
        "first_name": "DASHAWN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-30",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "2257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "27-0821510",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9065421",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52463639-003",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032883905C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9752079",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3094116",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cameron Atterberry
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• Tannisa D Bailey, APRN
• Dashana Barcia
• Cameron Dewitt Barham, MSPT
• Lanise M Barnett, CNM, WHNP-BC
• Odell Barnwell III, MD
• Laura Colleen Baskett, AU.D.

• Physical Medicine & Rehabilitation Physician in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Physical Medicine & Rehabilitation Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.