Henry L Dewitt, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

027533 Issued in GA

Practice address

1500 Oglethorpe Ave
Suite 3300
Athens, GA 30606-2190

Phone

(706) 208-1406

Fax

(706) 208-1407

NPI assigned

Mar 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dewitt and Chisolm, LLC

  • Family Medicine Physician
  • Athens, GA
  • NPI 1306910047
  Medicare reassignment NPD Authorized official
• Athens Family Medicine LLC

  • Family Medicine Physician
  • Athens, GA
  • NPI 1427418391
  NPD (past)

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1619937109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 OGLETHORPE AVE",
            "address_2": "SUITE 3300",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062190",
            "telephone_number": "706-208-1406",
            "fax_number": "706-208-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 OGLETHORPE AVE",
            "address_2": "SUITE 3300",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062190",
            "telephone_number": "706-208-1406",
            "fax_number": "706-208-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "HENRY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "027533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000302915C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52024243005",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00053435",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony John Deutsch, M.D.
• Yvonne Devere
• Mary Devereaux, LPN
• Rachel Dooley Dewald, LCSW
• Dewitt and Chisolm, LLC
• Jon Dewitte, MD
• Katherine Dewolf, IBCLC
• DHP of Georgia PC
• Nirav S. Dhruva, M.D.
• Diagnostic Clinic of Athens,LLC (Athens Diagnostic Center)

• Family Medicine Physician in Athens, GA
• Providers in Athens, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.