Individual provider Active NPI

Michael A Dawson, MD

  • Family Medicine Physician
  • Fort Gregg Adams, VA
National Provider Identifier
1275562720
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101252765 Issued in VA
Practice address
700 24TH St BLDG 8130
Fort Gregg Adams, VA 23801-1716
Phone
(804) 734-9993
Fax
(877) 874-1008
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101252765 VA Primary
Family Medicine Physician 207Q00000X 043192 GA

Addresses

Primary practice location

700 24TH St BLDG 8130
Fort Gregg Adams, VA 23801-1716

Mailing address

700 24TH St BLDG 8130
Fort Gregg Adams, VA 23801-1716
Phone (804) 734-9993

Other identifiers 1

IdentifierTypeStateIssuer
000738295KMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20140129001232 VA Practitioner - Family Practice 2062561947

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
043192GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dawson Family Medicine, LLC Family Medicine PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1275562720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 24TH ST BLDG 8130",
            "city": "FORT GREGG ADAMS",
            "state": "VA",
            "postal_code": "238011716",
            "telephone_number": "804-734-9993",
            "fax_number": "877-874-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 24TH ST BLDG 8130",
            "city": "FORT GREGG ADAMS",
            "state": "VA",
            "postal_code": "238011716",
            "telephone_number": "804-734-9993",
            "fax_number": "877-874-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101252765",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "043192",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000738295K",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Gregg Adams, VA

Sources for this page

Verify at the official NPI Registry.