Individual provider Active NPI

Rupert Dyer, D.O.

  • Pediatrics Physician
  • Dawson, GA
National Provider Identifier
1922119650
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
051314 Issued in GA
Practice address
420 Johnson St SE
Dawson, GA 39842-1523
Phone
(229) 995-2990
Fax
(229) 995-2993
NPI assigned
Aug 31, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 051314 GA
Pediatrics Physician 208000000X 051314 GA Primary

Addresses

Primary practice location

420 Johnson St SE
Dawson, GA 39842-1523

Mailing address

204 N Westover Blvd
Albany, GA 31707-2983
Phone (229) 888-6559

Other identifiers 4

IdentifierTypeStateIssuer
887064OtherGABCBS - DMC
887065OtherGABCBS - EMC
887063OtherGABCBS - EAMC
7796360OtherGAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031210000531 GA Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - HospitalistPractitioner - Pediatric Medicine 5395641492 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

19519 Hartford St
Edison, GA 39846-5803
Phone (229) 835-2238

420 Johnson St SE
Dawson, GA 39842-1523
Phone (229) 995-2990

455 Greenwave Blvd
Dawson, GA 39842-2908
Phone (229) 405-6238

505 Forrester Dr SE
Dawson, GA 39842-2006
Phone (229) 995-2990

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
051314GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Area Primary Health Care, Inc CurrentSince Jul 15, 2002 Accepting new patients
Albany Area Primary Health Care, Inc. CurrentSince Jul 15, 2002 Accepting new patients
Phoebe Physician Group, Inc CurrentSince May 1, 2017 Accepting new patients
Phoebe Gastroenterology Associates CurrentSince May 1, 2017 Accepting new patients
Albany Area Primary Health Care, Inc. Past Accepting new patients
Albany Area Primary Health Care, Inc. Past Accepting new patients
Albany Area Primary Health Care, Inc. Past Accepting new patients
Albany Area Primary Health Care, Inc. Past Accepting new patients

Locations (25 of 33)

1300 Newton Rd
Albany, GA 31701
Phone (229) 431-1320

1305 E 2nd Ave
Albany, GA 31705
Phone (229) 405-6189

1425 W Oakridge Dr
Albany, GA 31707
Phone (229) 405-6233

1700 Cordell Ave
Albany, GA 31705
Phone (229) 405-6235

1712 E Broad Ave
#A
Albany, GA 31705
Phone (229) 639-3100

1712 E Broad Ave
#C
Albany, GA 31705
Phone (229) 405-6249

1801 Palmyra Rd
Albany, GA 31701
Phone (229) 434-1400

2001 Leonard Ave
Albany, GA 31705
Phone (229) 435-9934

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

204 Westover Blvd
Albany, GA 31707
Phone (229) 888-6559

2202 E Oglethorpe Blvd
Albany, GA 31705
Phone (229) 431-1423

2336 Dawson Rd
Ste 1500
Albany, GA 31707
Phone (229) 312-8800

2336 Dawson Rd
Ste 1600
Albany, GA 31707
Phone (229) 312-8750

2403 Osler Ct
Ste A
Albany, GA 31707
Phone (229) 405-6196

2403 Osler Ct
Ste B
Albany, GA 31707
Phone (229) 639-3135

2408 Westgate Dr
Albany, GA 31707
Phone (229) 888-6559

2607 Gillionville Rd
Albany, GA 31707
Phone (229) 883-9001

401 S Madison St
Albany, GA 31701
Phone (229) 405-6959

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

4529 Gillionville Rd
Albany, GA 31721
Phone (229) 405-6188

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

1000 Newton Rd
Camilla, GA 31730
Phone (229) 889-7393

420 Johnson St SE
Dawson, GA 39842
Phone (229) 995-2290

455 Greenwave Blvd
Dawson, GA 39842
Phone (229) 405-6238

Interoperability endpoints

  • Direct secure messaging: rupert.dyer@aaphc.eclinicaldirectplus.com

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1922119650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N WESTOVER BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072983",
            "telephone_number": "229-888-6559",
            "fax_number": "229-436-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 JOHNSON ST SE",
            "city": "DAWSON",
            "state": "GA",
            "postal_code": "398421523",
            "telephone_number": "229-995-2990",
            "fax_number": "229-995-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "RUPERT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "051314",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "051314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - DMC",
            "identifier": "887064",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - EMC",
            "identifier": "887065",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - EAMC",
            "identifier": "887063",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7796360",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dawson, GA

Sources for this page

Verify at the official NPI Registry.