Thomas Daniel Dawdy, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-052642 Issued in IL

Practice address

6 Spring Hill Dr
Greenville, IL 62246-1200

Phone

(618) 664-1772

NPI assigned

Feb 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1467588640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SPRING HILL DR",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461200",
            "telephone_number": "618-664-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SPRING HILL DR",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461200",
            "telephone_number": "618-664-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWDY",
        "first_name": "THOMAS",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-24",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-052642",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036052642",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467588640",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036052642 1",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Living Options Inc (Brauns Terrace)
• Stephanie A Comrie, RN/BSN, MSN ,FNP-BC
• Jemila Maxine Crawford, M.D.
• James Alexander Davis, ATC
• John Kersey Dawdy, M.D.
• Melissa Dierkes, PHARM.D.
• Darah Dodt, FNP-C
• Julie M Doll, RN, FNP-C
• Steven Dean Donnan, CRNA
• Michelle Dawn Dothager

• Family Medicine Physician in Greenville, IL
• Providers in Greenville, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.