Individual provider Active NPI

Charnique Dotson

  • Family Nurse Practitioner
  • Hinesville, GA
National Provider Identifier
1699481713
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN239732 Issued in GA
Practice address
1028 W Oglethorpe Hwy
Hinesville, GA 31313-5424
Phone
(912) 255-4057
NPI assigned
Jan 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN239732 GA Primary

Addresses

Primary practice location

1028 W Oglethorpe Hwy
Hinesville, GA 31313-5424

Mailing address

1500 1St Ave N Unit 3
Birmingham, AL 35203-1866

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230317001898 GA Practitioner - Nurse Practitioner 1254705064 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1497 Fair Rd
Suite 311
Statesboro, GA 30458-0828
Phone (912) 354-6187

225 Candler Dr
Suite 300
Savannah, GA 31405-6091
Phone (912) 354-6187

5353 Reynolds St
Savannah, GA 31405-6015
Phone (912) 354-6187

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN239732GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Candler Medical Oncology Practice, LLC CurrentSince May 19, 2025 Accepting new patients
Coastal Community Health Services Inc CurrentSince Nov 17, 2023 Accepting new patients
Coastal Community Health Services, Inc. CurrentSince Nov 17, 2023 Accepting new patients
Rural Urgent Care LLC CurrentSince Jan 29, 2023 Accepting new patients
Effingham Physician Practices, LLC CurrentSince May 19, 2025 Accepting new patients
Candler Medical Oncology Practice, LLC CurrentSince May 19, 2025 Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

106 Shoppers Way
Ste 101
Brunswick, GA 31525
Phone (912) 275-8208

100 Professional Center Dr
Brunswick, GA 31525

1028 W Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 255-4057

10055 Ford Ave
Ste 4A
Richmond Hill, GA 31324
Phone (912) 527-5352

225 Candler Dr
Ste 300
Savannah, GA 31405

459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200

459 Highway 119 S
Ste B
Springfield, GA 31329
Phone (912) 754-2560

6574 Shellman Bluff Rd NE
Townsend, GA 31331
Phone (912) 623-4755

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/candler-47b034e8

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1699481713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 1ST AVE N UNIT 3",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 W OGLETHORPE HWY",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313135424",
            "telephone_number": "912-255-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTSON",
        "first_name": "CHARNIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN239732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinesville, GA

Sources for this page

Verify at the official NPI Registry.