Active NPI
Corey W Dye, M.D.
- Emergency Medicine Physician
- Valdosta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 152679
- Practice address
- 2501 N Patterson St Dept of
Valdosta, GA 31602-1785 - Phone
- (229) 433-1000
- NPI assigned
- Mar 27, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 83864 | GA | |
| Emergency Medicine Physician | 207P00000X | 04-42862 | KS | |
| Emergency Medicine Physician | 207P00000X | TRN24545 | FL | |
| Emergency Medicine Physician | 207P00000X | 152679 | FL | Primary |
Addresses
Primary practice location
2501 N Patterson St Dept of
Valdosta, GA 31602-1785
Mailing address
500 Winderley PL Ste 115
Maitland, FL 32751-7406
Other practice location 1
1000 Waterman Way
Tavares, FL 32778-5266
Phone (352) 253-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 152679 | FL | MD | Emergency Medicine Physician |
| 83864 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Georgia Emergency Medicine Associates PC | Emergency Medicine | Current | Accepting new patients |
| Halifax Healthcare Systems Inc | Emergency Medicine | Current | Accepting new patients |
| Florida Emergency Physicians Kang and Associates MD LLC | Emergency Medicine | Current | Accepting new patients |
Locations
1909 E Highway 50
Clermont, FL 34711
Phone (352) 717-3800
303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575
4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Thomasville, GA
- NPI 1386903649
-
- Emergency Medical Services (Emergency Medicine) Physician
- Orlando, FL
- NPI 1811983752
-
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1245283530
Emergency Medicine
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1285686675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1679004097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 WINDERLEY PL STE 115",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 N PATTERSON ST DEPT OF",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021785",
"telephone_number": "229-433-1000"
}
],
"practiceLocations": [
{
"address_1": "1000 Waterman Way",
"address_purpose": "LOCATION",
"city": "Tavares",
"state": "FL",
"postal_code": "327785266",
"country_code": "US",
"telephone_number": "352-253-3333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DYE",
"first_name": "COREY",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-27",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "83864",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KS",
"license": "04-42862",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "TRN24545",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "152679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.