Active NPI
Anthony T Dacunha, MD
- Neurology Physician
- Athens, GA
National Provider Identifier
1851330591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 037435
- Practice address
- 1086 1/2 Baxter St
Athens, GA 30606-6316 - Phone
- (706) 353-0606
- Fax
- (706) 353-0798
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 037435 | GA | Primary |
Addresses
Primary practice location
1086 1/2 Baxter St
Athens, GA 30606-6316
Mailing address
1086 1/2 Baxter St
Athens, GA 30606-6316
Phone (706) 353-0606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000698915F | Medicaid | GA |
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 |
|---|---|---|---|
| 037435 | GA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians South Neurology LLC | Neurology | Past | Accepting new patients |
| Clinical Neuro DX, LLC | Past | Accepting new patients | |
| Athens Neurological Associates, P.C | Neurology | Past | Accepting new patients |
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.
-
- Health Service Clinic/Center
- Atlanta, GA
- NPI 1205017944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323043200000",
"number": "1851330591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1086 1/2 BAXTER ST",
"city": "ATHENS",
"state": "GA",
"postal_code": "306066316",
"telephone_number": "706-353-0606",
"fax_number": "706-353-0798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1086 1/2 BAXTER ST",
"city": "ATHENS",
"state": "GA",
"postal_code": "306066316",
"telephone_number": "706-353-0606",
"fax_number": "706-353-0798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DACUNHA",
"first_name": "ANTHONY",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2011-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "GA",
"license": "037435",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000698915F",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.