NPIMap

Individual provider Active NPI

Dawn George-Mayo, M.D.

  • Obstetrics & Gynecology Physician
  • San Antonio, TX
National Provider Identifier
1396858882
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
K4896 Issued in TX
Practice address
1200 Brooklyn Ave
Ste 365
San Antonio, TX 78212-4803
Phone
(210) 225-5930
Fax
(210) 476-0246
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X K4896 TX Primary

Addresses

Primary practice location

1200 Brooklyn Ave
Ste 365
San Antonio, TX 78212-4803

Mailing address

3100 Avenue E
Hondo, TX 78861-3534
Phone (830) 426-7947

Other identifiers 1

IdentifierTypeStateIssuer
039765504MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040727000833 TX Practitioner - Obstetrics/Gynecology 2264412543 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Tulane University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medina County Hospital District 5 clinicians

Practice addresses (Care Compare)

3100 Ave E
Hondo, TX 78861-3534
Phone (830) 426-7873

Hospital & facility affiliations

  • Medina Regional Hospital Hospital, Hondo, TX, CCN 451330

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medina County Hospital District CurrentSince May 1, 2017 Accepting new patients
Medina County Hospital District CurrentSince May 1, 2017 Accepting new patients

Locations

8406 FM 471 S
Castroville, TX 78009
Phone (830) 426-7444

1250 State Highway 173 N
Devine, TX 78016
Phone (830) 426-7444

3100 Avenue E
Hondo, TX 78861
Phone (830) 426-7700

3200 Avenue E
Hondo, TX 78861
Phone (512) 280-7943

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513814400000",
    "number": "1396858882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 AVENUE E",
            "city": "HONDO",
            "state": "TX",
            "postal_code": "788613534",
            "telephone_number": "830-426-7947",
            "fax_number": "830-426-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BROOKLYN AVE",
            "address_2": "STE 365",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124803",
            "telephone_number": "210-225-5930",
            "fax_number": "210-476-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE-MAYO",
        "first_name": "DAWN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2017-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K4896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039765504",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.