John Brandon Dawson III, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

906 Issued in MS

Practice address

4810 Lakeland Dr
Flowood, MS 39232-8694

Phone

(601) 939-6366

NPI assigned

Aug 6, 2014

Last updated

Aug 6, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

M H Allen LLCGroup PAC ID 4284833385, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.dawson.1@20428.direct.athenahealth.com

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.

• M H Allen LLC

  • Optometrist
  • Flowood, MS
  • NPI 1003055872
  Medicare reassignment Care Compare group NPD
• Canton Vision Clinic, P.a.

  • Optometrist
  • Canton, MS
  • NPI 1174607477
  Medicare reassignment NPD
• Professional Eyecare Associates of Yazoo City, PA

  • Optometrist
  • Yazoo City, MS
  • NPI 1184810525
  Medicare reassignment NPD
• Odom's Optical LLC

  • Eyewear Supplier
  • Flowood, MS
  • NPI 1518027937
  NPD (past)

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1861801631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 LAKELAND DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 LAKELAND DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328694",
            "telephone_number": "601-939-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "JOHN",
        "middle_name": "BRANDON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John D Davis IV, M.D.
• Lelouise Tindall Davis, FNP
• Martin Davis, LPC
• Shameika Davis, LCSW
• Wesley Young Davis, MS
• Ladonna S Day, LCSW
• DCGM, Inc
• Joseph Alexander De Gruy, MD
• Cynthia Johnson Dean, DNP
• Meagan Dear, PMHNP-BC

• Optometrist in Flowood, MS
• Providers in Flowood, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.