Carrie Emery Dawson, P.A.
Individual provider Active NPI Medical Physician Assistant · Greensboro, GA
NPI 1861624017 · NPPES record last updated Apr 23, 2020
Key facts
- NPI
- 1861624017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 6706 (GA)
- Practice address
- 803 S Main St
Greensboro, GA 30642-1211 - Phone
- (706) 453-1201
- NPI assigned
- Aug 20, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- University of Kentucky College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Oconee Valley Healthcare Inc
Practice addresses (Care Compare)
1040 Park Dr
Greensboro, GA 30642-3466
Phone (706) 534-6640
1041 Park Dr
Greensboro, GA 30642-3465
Phone (706) 453-4945
510 N Cobb St
Milledgeville, GA 31061-2635
Phone (478) 414-1414
803 S Main St
Greensboro, GA 30642-1211
Phone (706) 453-1201
Hospital & facility affiliations
- Navicent Health Baldwin
- St Marys Good Samaritan Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130516000313 | GA | Practitioner - Physician Assistant | 4486778487 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006706 | GA | MD | Occupational Therapist |
| 6706 | GA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oconee Valley Healthcare Inc | Current | Accepting new patients |
Locations
114 Harmony Xing
Ste 5
Eatonton, GA 31024
Phone (706) 454-1210
1041 Park Dr
Greensboro, GA 30642
Phone (706) 453-4945
803 S Main St
Greensboro, GA 30642
Phone (706) 453-1201
1040 Park Dr
Greensboro, GA 30642
Phone (706) 453-4945
510 N Cobb St
Milledgeville, GA 31061
Phone (478) 414-1414
Interoperability endpoints
- carrie.dawson.1@15507.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 6706 | GA | Yes |
Addresses
Primary practice location
803 S Main St
Greensboro, GA 30642-1211
Mailing address
3869 Highway 81
Loganville, GA 30052-3918
Phone (859) 274-2126
Other practice location 1
3869 Highway 81
Loganville, GA 30052-3918
Phone (859) 274-2126
Other providers in Greensboro, GA
- Bahrum Barry Darugar
- Deborah Darugar
- Davis Radiology, PLC
- Cindy Rena Davis
- Robert A Davis
- Grant Walker Dawson
- Marilyn Digamon-Beltran
- Discover and Thrive Counseling, LLC
- Jennifer Dixon
- Lori Dunn
All providers in Greensboro, GA · Medical Physician Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.