Fui Dawson, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD001164 Issued in GA

Practice address

2430 Herodian Way SE
Suite 210
Smyrna, GA 30080-2980

Phone

(678) 679-3300

Fax

(678) 679-3430

NPI assigned

Aug 7, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advanced Foot and Ankle Institute of Georgia

  • Podiatric Clinic/Center
  • Smyrna, GA
  • NPI 1295091882
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1275799405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 HERODIAN WAY SE",
            "address_2": "SUITE 210",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802980",
            "telephone_number": "678-679-3300",
            "fax_number": "678-679-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 HERODIAN WAY SE",
            "address_2": "SUITE 210",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802980",
            "telephone_number": "678-679-3300",
            "fax_number": "678-679-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "FUI",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-07",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "1207",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Moulder Davis, LPC
• Larry Matthew Davis, NP-C
• Richard Kyle Davis, PHARMD
• Janelle Lynette Davison, O.D.
• Derrick Lamonye Dawson Jr.
• Duane D Day, DC
• Ryan T. Day, LPC, NCC
• Richard John De Carlo, D.C.
• Bryan J De Marco, M.D.
• Eric Deal, DO

• Foot & Ankle Surgery Podiatrist in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Foot & Ankle Surgery Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.