Active NPI
Dawne R Michael, MSN, AGPCNP-C
- Adult Health Nurse Practitioner
- Rome, GA
National Provider Identifier
1578073565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 205509
- Practice address
- 304 Shorter Ave NW Ste 101
Rome, GA 30165-4289 - Phone
- (706) 291-3700
- Fax
- (706) 509-3493
- NPI assigned
- Oct 4, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 205509 | GA | Primary |
Addresses
Primary practice location
304 Shorter Ave NW Ste 101
Rome, GA 30165-4289
Mailing address
5062 Hamby Rd NW
Acworth, GA 30102-3534
Phone (404) 663-8998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205509 | GA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507075200000",
"number": "1578073565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5062 HAMBY RD NW",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301023534",
"telephone_number": "404-663-8998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 SHORTER AVE NW STE 101",
"city": "ROME",
"state": "GA",
"postal_code": "301654289",
"telephone_number": "706-291-3700",
"fax_number": "706-509-3493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAEL",
"first_name": "DAWNE",
"middle_name": "R",
"credential": "MSN, AGPCNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-04",
"last_updated": "2017-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "205509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.