Active NPI
Liana Ellyn Dawson, M.D.
- Vascular Neurology Physician
- Round Rock, TX
National Provider Identifier
1780786285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Neurology Physician
- License
- 70079
- Practice address
- 2400 Round Rock Ave
Round Rock, TX 78681 - Phone
- (512) 341-1000
- NPI assigned
- Sep 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME986924 | FL | |
| Neurology Physician | 2084N0400X | K0451 | TX | |
| Neurology Physician | 2084N0400X | 059978 | CT | |
| Vascular Neurology Physician | 2084V0102X | ME98624 | FL | |
| Vascular Neurology Physician | 2084V0102X | 70079 | GA | Primary |
Addresses
Primary practice location
2400 Round Rock Ave
Round Rock, TX 78681
Mailing address
3000 N Ih 35 Ste 610
Austin, TX 78705-1850
Phone (512) 681-5050
Other practice location 1
743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 219-9000
Other practice location 2
2800 Main St
Bridgeport, CT 06606-4201
Phone (475) 210-5440
Other practice location 3
919 E 32nd St
Austin, TX 78705
Phone (512) 544-7000
Other practice location 4
901 W Ben White Blvd
Austin, TX 78704
Phone (512) 447-2211
Other practice location 5
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1771
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | FL | |
| MF458 | Other | FL | MEDICARE - HF |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ldawson109219@nghs.gadirect.net | 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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 059978 | CT | MD | Neurology Physician |
| ME986924 | FL | MD | Neurology Physician |
| ME98624 | FL | MD | Vascular Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629936000000",
"number": "1780786285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 N IH 35 STE 610",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051850",
"telephone_number": "512-681-5050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 ROUND ROCK AVE",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "78681",
"telephone_number": "512-341-1000"
}
],
"practiceLocations": [
{
"address_1": "743 Spring St NE",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305013715",
"country_code": "US",
"telephone_number": "770-219-9000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2800 Main St",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "CT",
"postal_code": "066064201",
"country_code": "US",
"telephone_number": "475-210-5440",
"fax_number": "475-210-5022",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "919 E 32nd St",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "78705",
"country_code": "US",
"telephone_number": "512-544-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "901 W Ben White Blvd",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "78704",
"country_code": "US",
"telephone_number": "512-447-2211",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1350 Hickory St",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329013224",
"country_code": "US",
"telephone_number": "321-434-1771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAWSON",
"first_name": "LIANA",
"middle_name": "ELLYN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-04",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME986924",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "K0451",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CT",
"license": "059978",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "FL",
"license": "ME98624",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "GA",
"license": "70079",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - HF",
"identifier": "MF458",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ldawson109219@nghs.gadirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "743 Spring St NE",
"city": "Gainesville",
"state": "GA",
"country_code": "US",
"postal_code": "305013715",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.