Individual provider Active NPI

Dana S Dudley, NP

  • Family Nurse Practitioner
  • Aiken, SC
National Provider Identifier
1205410230
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24948 Issued in SC
Practice address
222 University Pkwy
Aiken, SC 29801-6310
Phone
(803) 306-1438
NPI assigned
May 6, 2021
Last updated
Nov 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 000194 GA
Family Nurse Practitioner 363LF0000X 24948 SC Primary

Addresses

Primary practice location

222 University Pkwy
Aiken, SC 29801-6310

Mailing address

3696 Wheeler Rd
Augusta, GA 30909-6520
Phone (706) 736-1830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211018000406 GA Practitioner - Nurse Practitioner 8022416346 Reassigns benefits to 2 organizations
I20240116000383 SC Practitioner - Nurse Practitioner 8022416346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians
Augusta Oncology Associates PCGroup PAC ID 8921089756, shared by 2 NPIs, 36 clinicians

Practice addresses (Care Compare)

1120 15TH St
Augusta, GA 30912-0004
Phone (706) 721-8623

150 Bluff Ave
North Augusta, SC 29841-3862
Phone (706) 736-1830

3696 Wheeler Rd
Augusta, GA 30909-6520
Phone 7067361830213

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

989 Saint Sebastian Way
Augusta, GA 30912-0004
Phone (706) 721-2171

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.47 of 100Reported as group
Quality
41.03
Promoting interoperability
97
Improvement activities
40
Cost
98.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
000194GAMDFamily Nurse Practitioner
24948SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Oncology Associates PC CurrentSince Jun 26, 2023 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jan 1, 2026 Accepting new patients
Augusta Oncology Associates, P.C. CurrentSince Nov 7, 2023 Accepting new patients
Augusta Oncology Associates PC CurrentSince Jun 26, 2023 Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785

1120 15th St
Ste OR6000
Augusta, GA 30912
Phone (706) 721-3813

3696 Wheeler Rd
Augusta, GA 30909
Phone (706) 736-1830

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

222 University Pkwy
Aiken, SC 29801
Phone (706) 736-1830

150 Bluff Ave
North Augusta, SC 29841
Phone (706) 736-1830

150 Bluff Ave
Ste 2000
North Augusta, SC 29841
Phone (803) 624-1313

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1205410230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3696 WHEELER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096520",
            "telephone_number": "706-736-1830",
            "fax_number": "706-650-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 UNIVERSITY PKWY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016310",
            "telephone_number": "803-306-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "DANA",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-06",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "000194",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "24948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.