Active NPI
Terry Lee Dawson, M.D.
- Ophthalmology Physician
- Cullman, AL
National Provider Identifier
1194821132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 00007354
- Practice address
- 1800 Al Highway 157 Ste 301
Cullman, AL 35058-1273 - Phone
- (256) 736-5507
- Fax
- (256) 736-5543
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 00007354 | AL | Primary |
Addresses
Primary practice location
1800 Al Highway 157 Ste 301
Cullman, AL 35058-1273
Mailing address
503 Clark St NE
Cullman, AL 35055-1921
Phone (256) 739-0801
Other practice location 1
503 Clark St NE
Cullman, AL 35055-1921
Phone (256) 739-0801
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121923 | Medicaid | AL | |
| 51002890 | Other | AL | BLUE CROSS OF ALABAMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00007354 | AL | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522108800000",
"number": "1194821132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 CLARK ST NE",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350551921",
"telephone_number": "256-739-0801",
"fax_number": "256-739-0027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 AL HIGHWAY 157 STE 301",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350581273",
"telephone_number": "256-736-5507",
"fax_number": "256-736-5543"
}
],
"practiceLocations": [
{
"address_1": "503 Clark St NE",
"address_purpose": "LOCATION",
"city": "Cullman",
"state": "AL",
"postal_code": "350551921",
"country_code": "US",
"telephone_number": "256-739-0801",
"fax_number": "256-739-0027",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAWSON",
"first_name": "TERRY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2018-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "AL",
"license": "00007354",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121923",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF ALABAMA",
"identifier": "51002890",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cullman, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.