Organization Active NPI

Donnie P. Dunagan, M.D., P.C.

  • Allergy & Immunology Physician
  • Augusta, GA
National Provider Identifier
1407058027
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
14609 Issued in GA
Legal business name
DONNIE P. DUNAGAN, M.D., P.C.
Practice address
2042 Central Ave
Augusta, GA 30904-4128
Phone
(706) 733-1104
Fax
(706) 736-8465
NPI assigned
Jun 5, 2007
Last updated
May 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Authorized official

Name
Donnie P Dunagan, M.D.NPI 1760438444
Title
Physician
Phone
(706) 733-1104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 14609 GA Primary

Addresses

Primary practice location

2042 Central Ave
Augusta, GA 30904-4128

Mailing address

2042 Central Ave
Augusta, GA 30904-4128
Phone (706) 733-1104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040526001226 GA Part B Supplier - Clinic/Group Practice 0446231328 Receives reassigned benefits from 2 practitioners
Practice locations: Augusta, GA

National Provider Directory

National Provider Directory

Locations

2042 Central Ave
Augusta, GA 30904
Phone (706) 733-1104

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1407058027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2042 CENTRAL AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044128",
            "telephone_number": "706-733-1104",
            "fax_number": "706-736-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2042 CENTRAL AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044128",
            "telephone_number": "706-733-1104",
            "fax_number": "706-736-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNIE P. DUNAGAN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "DUNAGAN",
        "authorized_official_first_name": "DONNIE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "706-733-1104",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "GA",
            "license": "14609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.