Active NPI
Patricia Dawn Acree, M.D.
- Clinic/Center
- Adel, GA
National Provider Identifier
1598038952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 23008
- Practice address
- 602 N Hutchinson Ave
Adel, GA 31620-1900 - Phone
- (229) 549-7274
- NPI assigned
- Feb 15, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 23008 | GA | Primary |
Addresses
Primary practice location
602 N Hutchinson Ave
Adel, GA 31620-1900
Mailing address
PO Box 1020
Adel, GA 31620-1026
Phone (229) 549-7274
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23008 | Other | GA | GEORGIA STATE MEDICAL BOARD |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23008 | GA | MD | Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329264000000",
"number": "1598038952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1020",
"city": "ADEL",
"state": "GA",
"postal_code": "316201026",
"telephone_number": "229-549-7274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 N HUTCHINSON AVE",
"city": "ADEL",
"state": "GA",
"postal_code": "316201900",
"telephone_number": "229-549-7274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACREE",
"first_name": "PATRICIA",
"middle_name": "DAWN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-15",
"last_updated": "2012-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "GA",
"license": "23008",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA STATE MEDICAL BOARD",
"identifier": "23008",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Adel, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.