Active NPI
Bernadette Joan Dewit
- Occupational Therapist
- Duluth, GA
National Provider Identifier
1215005145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT0001266
- Practice address
- 2755 Bunten Rd
Duluth, GA 30096-4003 - Phone
- (678) 665-2926
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT0001266 | GA | Primary |
Addresses
Primary practice location
2755 Bunten Rd
Duluth, GA 30096-4003
Mailing address
150 Foal Dr
Roswell, GA 30076-3511
Phone (678) 665-2926
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 505898257N | Medicaid | GA | |
| 308507 | Other | GA | WELLCARE |
| 10035430 | Other | GA | AMERIGROUP |
| 505898257B | Other | GA | PEACH STATE HEALTH PLAN |
Other names 1
- Bernie Dorgan
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT0001266 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Stride Therapy | Occupational Therapist | Current | Accepting new patients |
| Reid Clinic Sports Physical Therapy and Spine LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Occupational Therapist
- Duluth, GA
- NPI 1164300620
-
- Physical Therapy Clinic/Center
- Roswell, GA
- NPI 1609106418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761523200000",
"number": "1215005145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 FOAL DR",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300763511",
"telephone_number": "678-665-2926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2755 BUNTEN RD",
"city": "DULUTH",
"state": "GA",
"postal_code": "300964003",
"telephone_number": "678-665-2926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEWIT",
"first_name": "BERNADETTE",
"middle_name": "JOAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT0001266",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "505898257N",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "308507",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10035430",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEACH STATE HEALTH PLAN",
"identifier": "505898257B",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BERNIE",
"last_name": "DORGAN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.