Active NPI
Dayle C Hawthorne, M.D.
- Family Medicine Physician
- Fort Oglethorpe, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 22237
- Practice address
- 1384 Battlefield Pkwy
Fort Oglethorpe, GA 30742-4010 - Phone
- (706) 861-2700
- Fax
- (706) 861-2745
- NPI assigned
- Sep 13, 2006
- Last updated
- Apr 11, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 22237 | GA | Primary |
Addresses
Primary practice location
1384 Battlefield Pkwy
Fort Oglethorpe, GA 30742-4010
Mailing address
1384 Battlefield Pkwy
Fort Oglethorpe, GA 30742-4010
Phone (706) 861-2700
Other names 1
- Dayle C Berry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Howard University College of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4713 Hwy 90
Pace, FL 32571-1403
Phone (850) 304-0694
Merit-based Incentive Payment System (MIPS)
- Final score
- 71.83 of 100
- Quality
- 61.85
- Improvement activities
- 40
- Cost
- 76.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22237 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Afc Florida, LLC | Family Medicine | Current | Accepting new patients |
| C & C Medical Group, Inc. | Current | Accepting new patients |
Locations
3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902
4713 Highway 90
Pace, FL 32571
Phone (850) 304-0694
15415 Panama City Beach Pkwy
Panama City Beach, FL 32413
Phone (850) 588-3589
1384 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (706) 858-8083
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba American Family Care
- Urgent Care Clinic/Center
- Pace, FL
- NPI 1205268208
Family Medicine
-
dba Medfirst Immediate Medical Care Center
- General Practice Physician
- Fort Oglethorpe, GA
- NPI 1871649525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334102400000",
"number": "1235234592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1384 BATTLEFIELD PKWY",
"city": "FORT OGLETHORPE",
"state": "GA",
"postal_code": "307424010",
"telephone_number": "706-861-2700",
"fax_number": "706-861-2745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1384 BATTLEFIELD PKWY",
"city": "FORT OGLETHORPE",
"state": "GA",
"postal_code": "307424010",
"telephone_number": "706-861-2700",
"fax_number": "706-861-2745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWTHORNE",
"first_name": "DAYLE",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2012-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "22237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAYLE",
"last_name": "BERRY",
"middle_name": "C",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Oglethorpe, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.