Individual provider Active NPI

Henry Harris Dohn, MD

  • Psychiatry Physician
  • Pensacola, FL
National Provider Identifier
1407857956
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME38699 Issued in FL
Practice address
5190 Bayou Blvd
BLDG 6
Pensacola, FL 32503-2194
Phone
(850) 476-0944
Fax
(850) 476-2558
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 8347 AL
Psychiatry Physician 2084P0800X ME38699 FL Primary

Addresses

Primary practice location

5190 Bayou Blvd
BLDG 6
Pensacola, FL 32503-2194

Mailing address

5190 Bayou Blvd
BLDG 6
Pensacola, FL 32503-2194
Phone (850) 476-0944

Other identifiers 1

IdentifierTypeStateIssuer
0403423-00MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110729000085 FL Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 0941478358 Practice locations: Pensacola, FL

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Medical College of Georgia School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5190 Bayou Blvd
Suite 6
Pensacola, FL 32503-2162
Phone (850) 476-0977

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8347ALMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1407857956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5190 BAYOU BLVD",
            "address_2": "BLDG 6",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032194",
            "telephone_number": "850-476-0944",
            "fax_number": "850-476-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 BAYOU BLVD",
            "address_2": "BLDG 6",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032194",
            "telephone_number": "850-476-0944",
            "fax_number": "850-476-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHN",
        "first_name": "HENRY",
        "middle_name": "HARRIS",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "8347",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME38699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0403423-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.