Individual provider Active NPI

Sawyer Donald, DO

  • Family Medicine Physician
  • Chatom, AL
National Provider Identifier
1265019723
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3062 Issued in AL
Practice address
14714 St Stephens Ave
Chatom, AL 36518
Phone
(251) 847-6262
NPI assigned
Mar 29, 2021
Last updated
Jun 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 3062 AL Primary

Addresses

Primary practice location

14714 St Stephens Ave
Chatom, AL 36518

Mailing address

1851 N McKenzie St Ste 200
Foley, AL 36535-4700
Phone (251) 424-1488

Other practice location 1

1851 N McKenzie St Ste 200
Foley, AL 36535-4700
Phone (251) 424-1488

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Athena Foley Clinic Corp

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240530001043 AL Practitioner - Family Practice 4385086701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Alabama College of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chatom Primary Care PCGroup PAC ID 9537187380, 6 clinicians

Practice addresses (Care Compare)

14634 Saint Stephens Ave
Chatom, AL 36518-6711
Phone (251) 847-6262

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3062ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chatom Primary Care PC CurrentSince Jul 1, 2024 Accepting new patients
Chatom Primary Care PC Past Accepting new patients
Sunrise Dermatology LLC PastSince Jun 23, 2024 Accepting new patients

Locations

14634 Saint Stephens Ave
Chatom, AL 36518
Phone (251) 847-3077

Organizations & group practices 3

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 4

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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1265019723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 N MCKENZIE ST STE 200",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365354700",
            "telephone_number": "251-424-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14714 ST STEPHENS AVE",
            "city": "CHATOM",
            "state": "AL",
            "postal_code": "36518",
            "telephone_number": "251-847-6262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1851 N McKenzie St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Foley",
            "state": "AL",
            "postal_code": "365354700",
            "country_code": "US",
            "telephone_number": "251-424-1488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONALD",
        "first_name": "SAWYER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "3062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Athena",
            "affiliation": "Y",
            "affiliationName": "Foley Clinic Corp",
            "address_1": "1851 N McKenzie St Ste 200",
            "city": "Foley",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365354700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chatom, AL

Sources for this page

Verify at the official NPI Registry.