Catherine K Dickens, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35240 Issued in GA

Practice address

107 Canal St
Pooler, GA 31322-4016

Phone

(912) 355-6221

NPI assigned

Oct 6, 2006

Last updated

Aug 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, AL, ND3 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 3

Specialty

Family PracticeAlso: Emergency Medicine

Education

Medical College of Georgia School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southland Hawkinsville Emergency Medical Services, LLCGroup PAC ID 2769600642, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI St Alexius Health Dickinson Hospital, Dickinson, ND, CCN 351336
• Taylor Regional Hospital Hospital, Hawkinsville, GA, CCN 110256
• CHI St Alexius Health Devils Lake Hospital, Devils Lake, ND, CCN 351333

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 32)

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Southland Hawkinsville Emergency Medical Services, LLC

  • Emergency Medicine Physician
  • Hawkinsville, GA
  • NPI 1891100962
  Medicare reassignment Care Compare group
• Applecare Memorial Immediate Care Joint Venture LLC

  • Urgent Care Clinic/Center
  • Savannah, GA
  • NPI 1962817601
  Medicare reassignment NPD
• Heritage Physician Services, LLC

  • Emergency Medicine Physician
  • Columbus, GA
  • NPI 1003321969
  Medicare reassignment NPD
• Peachtree Immediate Care FP, LLC

  • Family Medicine Physician
  • Hiram, GA
  • NPI 1437194156
  Medicare reassignment NPD
• Southland Cochran Emergency Medical Services, LLC

  • Emergency Medicine Physician
  • Cocharan, GA
  • NPI 1205241395
  Medicare reassignment NPD
• Southland Dodge Emergency Medical Services, LLC

  • Emergency Medicine Physician
  • Eastman, GA
  • NPI 1851958607
  Medicare reassignment NPD
• Southland Emergency Medical Services Consolidated, LLC

  • Hospitalist Physician
  • Cochran, GA
  • NPI 1033464391

  Family Medicine

  Medicare reassignment NPD
• Southland Optim Screven Emergency Medical Services LLC

  • Emergency Medicine Physician
  • Sylvania, GA
  • NPI 1174917157
  Medicare reassignment NPD
• Mercy Hospital of Devils Lake

  dba CHI St Alexius Health Devils Lake

  • Critical Access Hospital
  • Devils Lake, ND
  • NPI 1659343093
  Medicare reassignment NPD
• Mercy Hospital of Devils Lake

  dba CHI St Alexius Health Devils Lake

  • Emergency Medicine Physician
  • Devils Lake, ND
  • NPI 1790751170
  Medicare reassignment NPD
• St. Joseph's Hospital and Health Center

  dba CHI St Alexius Health Dickinson

  • Critical Access Hospital
  • Dickinson, ND
  • NPI 1992947956
  Medicare reassignment NPD
• Weiss Lake Hospitalists, LLC

  • Hospitalist Physician
  • Centre, AL
  • NPI 1205397643
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Taylor Regional Hospital

  • Rural Acute Care Hospital
  • Hawkinsville, GA
  • NPI 1720189517
  Care Compare affiliation
• Mercy Hospital of Devils Lake

  dba CHI St Alexius Health Devils Lake

  • Critical Access Hospital
  • Devils Lake, ND
  • NPI 1659343093
  Care Compare affiliation
• St. Joseph's Hospital and Health Center

  dba CHI St Alexius Health Dickinson

  • Critical Access Hospital
  • Dickinson, ND
  • NPI 1992947956
  Care Compare affiliation

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1770670259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 AZALIA DR",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584908",
            "telephone_number": "912-681-3040",
            "fax_number": "912-681-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CANAL ST",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224016",
            "telephone_number": "912-355-6221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "0404 Forrest Dr",
            "address_2": "Georgia Southern University Health Services",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304600001",
            "country_code": "US",
            "telephone_number": "912-681-0312",
            "fax_number": "912-681-1893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKENS",
        "first_name": "CATHERINE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "35240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Denton, DC
• Wayne Carey Depaz, DC
• Veronika Depinto
• Caitlan Desimas
• Trinity Diaz
• Eva Dittrich, PSYD
• Divine Keepers Homecare Services LLC
• Shaila Dixon
• Tawanda C Dixon, MA CCC-SLP
• Beth A Dodds, LMT

• Family Medicine Physician in Pooler, GA
• Providers in Pooler, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.