Individual provider Active NPI

David Dawei Zhu

  • General Practice Physician
  • Macon, GA
National Provider Identifier
1619300241
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME156084 Issued in FL
Practice address
1550 College St
Macon, GA 31207-1500
Phone
(478) 301-5570
NPI assigned
Aug 19, 2013
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME156084 FL
General Practice Physician 208D00000X ME156084 FL Primary

Addresses

Primary practice location

1550 College St
Macon, GA 31207-1500

Mailing address

1550 College St
Macon, GA 31207-1500
Phone (478) 301-5570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220615001682 FL Practitioner - General Practice 0547649972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Mercer University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1061 Virginia St
Dunedin, FL 34698-7326
Phone (727) 733-4189

51 Sunrise Blvd
St Augustine, FL 32084-6216
Phone (904) 824-4479

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue4839
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME156084FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Surgical and Wound Care LLC Surgery CurrentSince May 7, 2022 Accepting new patients
Sunshine Surgical and Wound Care LLC Surgery CurrentSince May 7, 2022 Accepting new patients
Sunshine Surgical and Wound Care LLC Surgery Current Accepting new patients
Gastroenterology Associates of Northern Virginia, LLC Past Accepting new patients
Old Dominion Anesthesia LLC Past Accepting new patients

Locations

222 N Pacific Coast Hwy
Ste 1420
El Segundo, CA 90245

222 N Pacific Coast Hwy
Ste 2175
El Segundo, CA 90245
Phone (877) 850-8762

4834 NW 2nd Ave
Unit 413
Boca Raton, FL 33431
Phone (337) 371-8163

1061 Virginia St
Dunedin, FL 34698
Phone (727) 733-4189

1735 N Treasure Dr
North Bay Village, FL 33141
Phone (305) 665-2383

1201 SE 24th Rd
Ocala, FL 34471
Phone (352) 732-2449

Organizations & group practices 5

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": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1619300241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 COLLEGE ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312071500",
            "telephone_number": "478-301-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 COLLEGE ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312071500",
            "telephone_number": "478-301-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHU",
        "first_name": "DAVID",
        "middle_name": "DAWEI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-19",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME156084",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME156084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.