Individual provider Active NPI

Joy M Dunn, MD

  • Surgery Physician
  • Vidalia, GA
National Provider Identifier
1760702328
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
83918 Issued in GA
Practice address
1811 Edwina Dr
Vidalia, GA 30474-8963
Phone
(912) 538-9977
NPI assigned
Jun 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD450726 PA
Surgery Physician 208600000X 83918 GA Primary

Addresses

Primary practice location

1811 Edwina Dr
Vidalia, GA 30474-8963

Mailing address

2601 Holme Ave
Philadelphia, PA 19152-2007
Phone (215) 335-6051

Other practice location 1

2601 Holme Ave
Philadelphia, PA 19152-2007
Phone (215) 335-6051

Other identifiers 1

IdentifierTypeStateIssuer
102893883MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210719001753 AZ Practitioner - General Surgery 0042441248 Reassigns benefits to 3 organizations
I20240228003629 NM Practitioner - General Surgery 0042441248 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Wayne State University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Otero County Hospital AssociationGroup PAC ID 3173516606, 245 clinicians

Practice addresses (Care Compare)

2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy19
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux24
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
83918GAMDSurgery Physician
MD450726PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bullhead City Clinic Corp CurrentSince Jun 1, 2023 Accepting new patients
Prowers County Hospital District CurrentSince Jun 9, 2023 Accepting new patients
Bullhead City Clinic Corp Surgery CurrentSince Jun 1, 2023 Accepting new patients
Presbyterian Healthcare Services Surgery CurrentSince Mar 1, 2024 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Sep 8, 2023 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Sep 8, 2023 Accepting new patients
Presbyterian Healthcare Services CurrentSince Mar 1, 2024 Accepting new patients
Kingman Healthcare, Inc CurrentSince Jul 1, 2021 Accepting new patients
Otero County Hospital Association CurrentSince Mar 1, 2025 Accepting new patients
Otero County Hospital Association CurrentSince Mar 1, 2025 Accepting new patients
Kingman Healthcare, Inc Current Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Kingman Healthcare, Inc CurrentSince Jul 1, 2021 Accepting new patients
Nazareth Hospital Past Accepting new patients
Taos Professional Services,LLC Surgery Past Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients
Kingman Healthcare, Inc Surgery Past Accepting new patients

Locations

2755 Silver Creek Rd
Ste 111
Bullhead City, AZ 86442
Phone (928) 444-1491

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

403 Kendall Dr
Lamar, CO 81052
Phone (719) 336-6767

401 Kendall Dr
Lamar, CO 81052
Phone (719) 336-4343

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

2421 W 21st St
Ste B
Clovis, NM 88101
Phone (575) 742-7824

1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340

Interoperability endpoints

  • Direct secure messaging: dunn.joy@st.direct.azkrmc.md
  • Direct secure messaging: joy.dunn.1@6965.direct.athenahealth.com
  • Direct secure messaging: dunn.joy@direct.azkrmc.md

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 2

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": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1760702328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 HOLME AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522007",
            "telephone_number": "215-335-6051",
            "fax_number": "215-335-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 EDWINA DR",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748963",
            "telephone_number": "912-538-9977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Holme Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191522007",
            "country_code": "US",
            "telephone_number": "215-335-6051",
            "fax_number": "215-335-6303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNN",
        "first_name": "JOY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-07",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD450726",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "83918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102893883",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vidalia, GA

Sources for this page

Verify at the official NPI Registry.