Active NPI
Dana Dunlap
- Physician Assistant
- Woodstock, GA
National Provider Identifier
1659702884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 003143
- Practice address
- 8814 Hwy 9
114
Woodstock, GA 30189 - Phone
- (678) 766-1842
- NPI assigned
- Dec 13, 2013
- Last updated
- Mar 17, 2015
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 003143 | GA | Primary |
Addresses
Primary practice location
8814 Hwy 9
114
Woodstock, GA 30189
Mailing address
8811 Hwy 9
114
Woodstock, GA 30189
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003143 | GA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426550400000",
"number": "1659702884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8811 HWY 9",
"address_2": "114",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "30189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8814 HWY 9",
"address_2": "114",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "30189",
"telephone_number": "678-766-1842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNLAP",
"first_name": "DANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-13",
"last_updated": "2015-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "003143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.