Individual provider Active NPI

Dawn Hostetler Macmillan, AU.D., CCC-A

  • Audiologist
  • Palm Coast, FL
National Provider Identifier
1710988472
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD003683 Issued in GA
Practice address
377 Palm Coast Pkwy SW Unit 3
Palm Coast, FL 32137-4780
Phone
(386) 283-4932
Fax
(386) 283-4934
NPI assigned
Aug 3, 2005
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD003683 GA Primary
Assistive Technology Practitioner Audiologist 231HA2400X AUD003683 GA
Assistive Technology Supplier Audiologist 231HA2500X AUD003683 GA
Audiologist-Hearing Aid Fitter 237600000X AUD003683 GA

Addresses

Primary practice location

377 Palm Coast Pkwy SW Unit 3
Palm Coast, FL 32137-4780

Mailing address

377 Palm Coast Pkwy SW Unit 3
Palm Coast, FL 32137-4780
Phone (386) 283-4932

Other identifiers 1

IdentifierTypeStateIssuer
861992492AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050308000019 GA Practitioner - Qualified Audiologist 0840244406 Reassigns benefits to 1 organization
I20260423000350 FL Practitioner - Qualified Audiologist 0840244406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear, Nose, and Throat Clinic of Coffee Co.Group PAC ID 4486698578, 11 clinicians
Alvarez Audiology and Hearing LLCGroup PAC ID 6406903616, 2 clinicians

Practice addresses (Care Compare)

2016 Pineview Ave
Tifton, GA 31794-3035
Phone 91238422002222

312 Westside Dr
Douglas, GA 31533-3530
Phone (912) 384-2200

314 Westside Dr
Douglas, GA 31533-3530
Phone (912) 384-2200

377 Palm Coast Pkwy SW
Unit 3
Palm Coast, FL 32137-4780
Phone (386) 283-4932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD003683GAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Ear, Nose and Throat Clinic of Coffee Co. CurrentSince Mar 1, 2024 Accepting new patients
Alvarez Audiology & Hearing LLC Audiologist CurrentSince Mar 9, 2026 Accepting new patients
Westside Surgery Center, LLC Past Accepting new patients

Locations

377 Palm Coast Pkwy SW
Unit 3
Palm Coast, FL 32137
Phone (386) 283-4932

312 Westside Dr
Douglas, GA 31533
Phone 9123842200222

2016 Pineview Ave
Tifton, GA 31794
Phone (229) 387-9205

1703 Boulevard Sq
Waycross, GA 31501

Organizations & group practices 3

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1710988472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 PALM COAST PKWY SW UNIT 3",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374780",
            "telephone_number": "386-283-4932",
            "fax_number": "386-283-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 PALM COAST PKWY SW UNIT 3",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374780",
            "telephone_number": "386-283-4932",
            "fax_number": "386-283-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACMILLAN",
        "first_name": "DAWN",
        "middle_name": "HOSTETLER",
        "name_prefix": "Dr.",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD003683",
            "primary": true
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "GA",
            "license": "AUD003683",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "GA",
            "license": "AUD003683",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "GA",
            "license": "AUD003683",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "861992492A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.