Individual provider Active NPI

Thomas Charles Dotson, M.D.P.C.

  • Internal Medicine Physician
  • Manassas, VA
National Provider Identifier
1659356079
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101224961 Issued in VA
Practice address
10945 George Mason Cir Ste 105
Manassas, VA 20110-2234
Phone
(703) 361-5116
Fax
(571) 364-8911
NPI assigned
Dec 8, 2005
Last updated
Oct 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101224961 VA Primary

Addresses

Primary practice location

10945 George Mason Cir Ste 105
Manassas, VA 20110-2234

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (703) 361-5116

Other practice location 1

9590 Surveyor Ct
Manassas, VA 20110-4406
Phone (703) 361-5116

Other identifiers 2

IdentifierTypeStateIssuer
5845246MedicaidVA
1659356079MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tdotson97916@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20050428000176 VA Practitioner - Internal Medicine 1456390715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
West Virginia University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10945 George Mason Cir
Suite 105
Manassas, VA 20110-2233
Phone (703) 361-5116

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101224961VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uva Community Health Medical Group, LLC CurrentSince Dec 4, 2013 Accepting new patients
Uva Community Health Medical Group, LLC Internal Medicine CurrentSince Dec 4, 2013 Accepting new patients

Locations

1918 Randolph Rd
Ste 175
Charlotte, NC 28207
Phone (704) 316-1050

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

812 W Stuart Dr
Galax, VA 24333
Phone (276) 238-3318

10945 George Mason Cir
Ste 105
Manassas, VA 20110
Phone (703) 361-5116

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

9590 Surveyor Ct
Manassas, VA 20110
Phone (703) 361-5116

Interoperability endpoints

  • Direct secure messaging: tdotson517033@direct.healthsystem.virginia.edu
  • Direct secure messaging: tdotson97916@direct.novanthealth.org

Organizations & group practices 2

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1659356079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "703-361-5116",
            "fax_number": "703-361-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10945 GEORGE MASON CIR STE 105",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201102234",
            "telephone_number": "703-361-5116",
            "fax_number": "571-364-8911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9590 Surveyor Ct",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201104406",
            "country_code": "US",
            "telephone_number": "703-361-5116",
            "fax_number": "703-361-5876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOTSON",
        "first_name": "THOMAS",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2020-10-25",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101224961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5845246",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659356079",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tdotson97916@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "9590 Surveyor Ct",
            "city": "Manassas",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201104406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.