Stephen A Dawkins, MD
Individual provider Active NPI Preventive Medicine/Occupational Environmental Medicine Physician · Hapeville, GA
NPI 1407917644 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1407917644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X
- License
- 033066 (GA)
- Practice address
- 535 N Central Ave
Hapeville, GA 30354-1603 - Phone
- (404) 761-4040
- Fax
- (404) 761-4008
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033066 | GA | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caduceus Occupational Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 033066 | GA | Yes |
Addresses
Primary practice location
535 N Central Ave
Hapeville, GA 30354-1603
Mailing address
3 Cascade Pointe Dr SW
Atlanta, GA 30331-8501
Phone (404) 761-4040
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 033066 | Other | GA | STATE MEDICAL LICENSE |
| G87875 | Other | CA | STATE MEDICAL LICENSE |
| ME73519 | Other | FL | STATE MEDICAL LICENSE |
Other providers in Hapeville, GA
- Community Care Services, LLC
- Concentra Health Services, Inc.
- Kristin Cooper
- Michael Vincent Cromartie II
- Brandon Dawkins
- Peter Deziel
- East Point Family Dental Center, PC
- Eleven 11 Medical Management, LLC
- James Rudolph Elmore
- Arlene Renee Emmons
All providers in Hapeville, GA · Preventive Medicine/Occupational Environmental Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.