Individual provider Active NPI

Rhonwynn Gennene Dozier, PA-C

  • Physician Assistant
  • Griffin, GA
National Provider Identifier
1780771410
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
004492 Issued in GA
Practice address
747 S 8TH St Ste C
Griffin, GA 30224-4884
Phone
(770) 228-1767
Fax
(770) 228-7562
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 004492 GA Primary

Addresses

Primary practice location

747 S 8TH St Ste C
Griffin, GA 30224-4884

Mailing address

1835 Savoy Dr Ste 300
Atlanta, GA 30341-1071
Phone (770) 228-1767

Other names 1

  • Ms. Rhonwynn Gennene Dozier-Prather Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rhonwynn.dozier.p1@direct.gacancer.nextgenshare.com Direct

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
004492GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey T Nugent, MD., P.C. Past Accepting new patients
Northside Imaging LLC Past Accepting new patients
NSH Cancer Institute Professional Services G, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rhonwynn.dozier.p1@direct.gacancer.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1780771410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 SAVOY DR STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411071",
            "telephone_number": "770-228-1767",
            "fax_number": "770-228-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 S 8TH ST STE C",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244884",
            "telephone_number": "770-228-1767",
            "fax_number": "770-228-7562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOZIER",
        "first_name": "RHONWYNN",
        "middle_name": "GENNENE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "004492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rhonwynn.dozier.p1@direct.gacancer.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "747 S 8th St Ste C",
            "city": "Griffin",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302244884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RHONWYNN",
            "last_name": "DOZIER-PRATHER",
            "middle_name": "GENNENE",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Griffin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.