Individual provider Active NPI

David R Dennison, MD

  • Internal Medicine Physician
  • Sylva, NC
National Provider Identifier
1457345902
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2000-01479 Issued in NC
Practice address
68 Hospital Rd
Sylva, NC 28779-2722
Phone
(828) 586-7428
Fax
(828) 586-7427
NPI assigned
Sep 9, 2005
Last updated
Feb 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 020688 GA
Internal Medicine Physician 207R00000X 2000-01479 NC Primary

Addresses

Primary practice location

68 Hospital Rd
Sylva, NC 28779-2722

Mailing address

68 Hospital Rd
Sylva, NC 28779-2722
Phone (828) 586-7428

Other identifiers 3

IdentifierTypeStateIssuer
000190913ZMedicaidGA
1457345902MedicaidAL
000190913AAMedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050310000547 GA Practitioner - Internal Medicine 5991759003 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System Georgia Inc CurrentSince Apr 5, 2015 Accepting new patients
Redmond Hospital Services LLC Past Accepting new patients
Harris Regional Hospital Inc Past Accepting new patients
Mount Lassen Emergency Physicians LLC Past Accepting new patients
WNC Hospitalist Service PLLC Internal Medicine Past Accepting new patients
Southwest Atlanta Nephrology, PC Past Accepting new patients

Locations

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

501 Redmond Rd NW
Fl 6
Rome, GA 30165
Phone (706) 368-8452

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16547/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1457345902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 HOSPITAL RD",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287792722",
            "telephone_number": "828-586-7428",
            "fax_number": "828-586-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 HOSPITAL RD",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287792722",
            "telephone_number": "828-586-7428",
            "fax_number": "828-586-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNISON",
        "first_name": "DAVID",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "020688",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2000-01479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000190913Z",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457345902",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000190913AA",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylva, NC

Sources for this page

Verify at the official NPI Registry.