Active NPI
Deborah Ann Dumphy, NP-C,APRN, IBCLC
- Family Nurse Practitioner
- Dawsonville, GA
National Provider Identifier
1699981548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN169649NP
- Practice address
- 300 Dawson Commons Circle
Ste. 320
Dawsonville, GA 30534 - Phone
- (706) 216-2770
- Fax
- (706) 216-2944
- NPI assigned
- May 15, 2007
- Reactivated
- Aug 9, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN169649NP | GA | Primary |
| Lactation Consultant (Registered Nurse) | 163WL0100X | RN169649 | GA |
Addresses
Primary practice location
300 Dawson Commons Circle
Ste. 320
Dawsonville, GA 30534
Mailing address
300 Dawson Commons Circle
Ste. 320
Dawsonville, GA 30534
Phone (706) 216-2770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 313892279A | Medicaid | GA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN169649 | GA | MD | Lactation Consultant (Registered Nurse) |
| RN169649NP | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dawson Pediatrics,PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Dawsonville, GA
- NPI 1750435749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379894400000",
"number": "1699981548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 DAWSON COMMONS CIRCLE",
"address_2": "STE. 320",
"city": "DAWSONVILLE",
"state": "GA",
"postal_code": "30534",
"telephone_number": "706-216-2770",
"fax_number": "706-216-2944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 DAWSON COMMONS CIRCLE",
"address_2": "STE. 320",
"city": "DAWSONVILLE",
"state": "GA",
"postal_code": "30534",
"telephone_number": "706-216-2770",
"fax_number": "706-216-2944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUMPHY",
"first_name": "DEBORAH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "NP-C,APRN, IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2013-09-23",
"deactivation_date": "2009-01-13",
"reactivation_date": "2010-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN169649NP",
"primary": true
},
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "GA",
"license": "RN169649",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "313892279A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dawsonville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.