Active NPI
C. Warren Dunn, MD
- Otolaryngology Physician
- Macon, GA
National Provider Identifier
1245294180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 28537
- Practice address
- 540 Hemlock St
Macon, GA 31201-3202 - Phone
- (478) 743-8953
- Fax
- (478) 743-1963
- NPI assigned
- Apr 17, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 28537 | GA | Primary |
Addresses
Primary practice location
540 Hemlock St
Macon, GA 31201-3202
Mailing address
540 Hemlock St
Macon, GA 31201-3202
Phone (478) 743-8953
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 235886 | Other | GA | B/C B/S |
| 00324211A | Medicaid | GA | |
| 9275479-001 | Other | GA | CIGNA |
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 |
|---|---|---|---|
| 28537 | GA | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213747200000",
"number": "1245294180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 HEMLOCK ST",
"city": "MACON",
"state": "GA",
"postal_code": "312013202",
"telephone_number": "478-743-8953",
"fax_number": "478-743-1963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 HEMLOCK ST",
"city": "MACON",
"state": "GA",
"postal_code": "312013202",
"telephone_number": "478-743-8953",
"fax_number": "478-743-1963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "C. WARREN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2008-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "GA",
"license": "28537",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "B/C B/S",
"identifier": "235886",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00324211A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9275479-001",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.