Individual provider Active NPI

Dawn Obrien, PA-C

  • Physician Assistant
  • Savannah, GA
National Provider Identifier
1316430978
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8801 Issued in GA
Practice address
4717 Hwy 80 E Ste H-1
Savannah, GA 31410-2943
Phone
(770) 722-0650
Fax
(912) 898-2230
NPI assigned
Jun 8, 2018
Last updated
Jun 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 8801 GA Primary

Addresses

Primary practice location

4717 Hwy 80 E Ste H-1
Savannah, GA 31410-2943

Mailing address

4717 Hwy 80 E Ste H-1
Savannah, GA 31410-2943
Phone (912) 898-2227

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181205000946 GA Practitioner - Physician Assistant 3971847740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Urgent Care LLCGroup PAC ID 4082802509, 5 clinicians

Practice addresses (Care Compare)

4717 US Hwy 80 E
Suite H I
Savannah, GA 31410-2944
Phone (912) 898-2227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1316430978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 HWY 80 E STE H-1",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314102943",
            "telephone_number": "912-898-2227",
            "fax_number": "912-898-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 HWY 80 E STE H-1",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314102943",
            "telephone_number": "770-722-0650",
            "fax_number": "912-898-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBRIEN",
        "first_name": "DAWN",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "8801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.