Active NPI
Dawson Med PC
- Internal Medicine Physician
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- DAWSON MED PC
- Practice address
- 608 Dawson St
Wilmington, NC 28401-5712 - Phone
- (910) 387-3745
- Fax
- (833) 941-2261
- NPI assigned
- Jun 25, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Umar Bowers, MD
- Title
- Ceo
- Phone
- (910) 387-3745
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Nurse Practitioner | 363L00000X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
608 Dawson St
Wilmington, NC 28401-5712
Mailing address
608 Dawson St Ste 103
Wilmington, NC 28401-5712
Phone (910) 387-3745
Other names 1
- Dawson Med PC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210913000037 | NC | Part B Supplier - Clinic/Group Practice | 8921404286 |
Receives reassigned benefits from 8 practitioners Practice locations: Wilmington, NC; Leland, NC |
National Provider Directory
National Provider DirectoryLocations
608 Dawson St
Wilmington, NC 28401
Phone (910) 387-3745
608 Dawson St
Ste 101
Wilmington, NC 28401
Phone (910) 387-3745
608 Dawson St
Ste 103
Wilmington, NC 28401
Phone (910) 387-3745
Interoperability endpoints
- https://api.platform.athenahealth.com/24025/brand/2/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Hendersonville, NC
- NPI 1518616184
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639612800000",
"number": "1487224283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 DAWSON ST STE 103",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284015712",
"telephone_number": "910-387-3745",
"fax_number": "833-941-2261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 DAWSON ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284015712",
"telephone_number": "910-387-3745",
"fax_number": "833-941-2261"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAWSON MED PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-25",
"last_updated": "2021-12-16",
"certification_date": "2021-12-16",
"status": "A",
"authorized_official_last_name": "BOWERS",
"authorized_official_first_name": "UMAR",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "910-387-3745",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dawson Med PC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.