Active NPI
Georgia Santos-Jawaid, MD
- Pediatrics Physician
- Aberdeen, SD
National Provider Identifier
1285616342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 7116
- Practice address
- 201 S Lloyd St
Suite E205
Aberdeen, SD 57401-4552 - Phone
- (605) 622-4050
- Fax
- (605) 622-4049
- NPI assigned
- Nov 15, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 7116 | SD | Primary |
Addresses
Primary practice location
201 S Lloyd St
Suite E205
Aberdeen, SD 57401-4552
Mailing address
PO Box 1460
Aberdeen, SD 57402-1460
Phone (605) 622-4050
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4992679 | Other | SD | WELLMARK BC/BS |
| 6702070 | Medicaid | SD | |
| 14486 | Medicaid | ND | |
| 7116 | Other | SD | DAKOTACARE |
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 |
|---|---|---|---|
| 7116 | SD | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211846400000",
"number": "1285616342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1460",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574021460",
"telephone_number": "605-622-4050",
"fax_number": "605-622-4049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S LLOYD ST",
"address_2": "SUITE E205",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574014552",
"telephone_number": "605-622-4050",
"fax_number": "605-622-4049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS-JAWAID",
"first_name": "GEORGIA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2008-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SD",
"license": "7116",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BC/BS",
"identifier": "4992679",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6702070",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "14486",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTACARE",
"identifier": "7116",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aberdeen, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.