Individual provider Active NPI

Dawn Marie Cameron Devaux, RN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Summerville, SC
National Provider Identifier
1710675434
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
28289 Issued in SC
Practice address
314 W 4TH N Street
Summerville, SC 29483-3489
Phone
(843) 501-1099
NPI assigned
May 1, 2023
Last updated
May 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 28289 SC Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 191618 MA

Addresses

Primary practice location

314 W 4TH N Street
Summerville, SC 29483-3489

Mailing address

4 Riverhurst Rd Apt 302
Billerica, MA 01821-3489
Phone (781) 361-2604

Other practice location 1

4 Riverhurst Rd Apt 302
Billerica, MA 01821-3489
Phone (781) 361-2604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240705000917 SC Practitioner - Nurse Practitioner 1759749278 Reassigns benefits to 2 organizations
I20260428001423 MA Practitioner - Nurse Practitioner 1759749278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Charleston Counseling Center PCGroup PAC ID 6204125107, 186 clinicians

Practice addresses (Care Compare)

314 W 4TH N St
Summerville, SC 29483-6550
Phone (843) 501-1099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
191618MAMDPsychiatric/Mental Health Registered Nurse
19168MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Counseling Center PC CurrentSince Jul 8, 2024 Accepting new patients
River Region Psychiatry Associates LLC CurrentSince Jun 1, 2025 Accepting new patients
Myrtle Beach Counseling Center PastSince Aug 6, 2019 Accepting new patients

Locations

233 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 207-3188

1211 Roberts St
Camden, SC 29020
Phone (330) 949-7420

1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311

871 Lowcountry Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (253) 346-0137

2680 Elms Plantation Blvd
Ste 101
North Charleston, SC 29406
Phone (843) 553-7122

314 W 4th North St
Summerville, SC 29483
Phone (631) 942-8629

651 Scholar Way
Ste 101
Summerville, SC 29486
Phone (630) 884-9012

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.dawnmariedevaux@149035.advancedmd-direct.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1710675434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RIVERHURST RD APT 302",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018213489",
            "telephone_number": "781-361-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W 4TH N STREET",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294833489",
            "telephone_number": "843-501-1099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Riverhurst Rd Apt 302",
            "address_purpose": "LOCATION",
            "city": "Billerica",
            "state": "MA",
            "postal_code": "018213489",
            "country_code": "US",
            "telephone_number": "781-361-2604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVAUX",
        "first_name": "DAWN MARIE",
        "middle_name": "CAMERON",
        "credential": "RN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "28289",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "191618",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.