Dawn Camille Ferguson, M.D.

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

035179 Issued in GA

Practice address

311 White Ingram Pkwy
Dallas, GA 30132-0969

Phone

(678) 647-9947

Fax

(678) 363-7787

NPI assigned

Dec 4, 2006

Last updated

Jan 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Georgia CTC, LLC

  dba Dallas Comprehensive Treatment Center

  • Methadone Clinic
  • Dallas, GA
  • NPI 1407582042
  NPD

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1861560021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1096 FOX ST SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132942",
            "telephone_number": "770-634-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 WHITE INGRAM PKWY",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301320969",
            "telephone_number": "678-647-9947",
            "fax_number": "678-363-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "DAWN",
        "middle_name": "CAMILLE",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "GA",
            "license": "035179",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "GA",
            "license": "035179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000616932E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimdi Joy Fair, D.C.
• Family Smiles Dental
• Family Support Group Inc
• Felicia Thomas LLC
• Roselyne Ferdinand, RN
• Sylvanus Kwame Fiakpornoo, MD
• Fig & Olive Therapy Co., LLC
• Fight Like a Girl
• First Choice Private Home Care Services, Inc.
• Wesley Earnest Fischer

• Rehabilitation Practitioner in Dallas, GA
• Providers in Dallas, GA by specialty
• Rehabilitation Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.