Stephen Alan Dayan, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

MD423670 Issued in PA

Practice address

830 Johns Landing Way
Lawrenceville, GA 30045-6369

Phone

(770) 696-5254

NPI assigned

Jun 3, 2011

Last updated

Dec 30, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1184918476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 JOHNS LANDING WAY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300456369",
            "telephone_number": "770-696-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 JOHNS LANDING WAY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300456369",
            "telephone_number": "770-696-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAYAN",
        "first_name": "STEPHEN",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-03",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MD423670",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD423670",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010386780001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Dawkins, M.D.
• Ebenezer Adeboye Dawodu, MD
• Esther Modupe Day, AGPCNP-BC
• Frank Reece Day Jr., O.D.
• Kelly Calvert Day, LICENSED SPEECH/LANG
• Omar Daye
• Kelsey Days, OTD, OTR/L
• DBF Surgical Assistant
• Kounew Her De Leon
• Marjorie E De Luca, MHP, CADC

• Anatomic Pathology & Clinical Pathology Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.