Active NPI
Patricia Marie Dykema, PA
- Physician Assistant
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4589
- Practice address
- 5353 Reynolds St Ste 107
Savannah, GA 31405-6089 - Phone
- (912) 819-7630
- Fax
- (912) 819-5860
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4589 | GA | Primary |
| Physician Assistant | 363A00000X | TL3290 | SC |
Addresses
Primary practice location
5353 Reynolds St Ste 107
Savannah, GA 31405-6089
Mailing address
PO Box 11407 Dept #1622
Birmingham, AL 35246-1622
Phone (912) 819-8427
Other practice location 1
225 Candler Dr Ste 100
Savannah, GA 31405-6093
Phone (912) 352-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 257354264A | Medicaid | GA |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
225 Candler Dr
Suite 100
Savannah, GA 31405-6023
225 Candler Dr
Suite 100
Savannah, GA 31405-6093
Phone (912) 352-1700
5353 Reynolds St
Savannah, GA 31405-6015
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.69 of 100
- Quality
- 63.94
- Promoting interoperability
- 63
- Improvement activities
- 40
- Cost
- 59.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3290 | SC | MD | Oral and Maxillofacial Surgery (Dentist) |
| 4589 | GA | MD | Physician Assistant |
| TL3290 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dekalb Medical Specialty Care Group LLC | Past | Accepting new patients | |
| Atlanta Cardiac & Thoracic Surgery | 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.
-
- Radiation Oncology Physician
- Savannah, GA
- NPI 1710196589
-
- Specialist
- Atlanta, GA
- NPI 1376753970
-
- Neurology Physician
- Decatur, GA
- NPI 1063663037
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1275527889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1932127149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11407 DEPT #1622",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352461622",
"telephone_number": "912-819-8427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5353 REYNOLDS ST STE 107",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314056089",
"telephone_number": "912-819-7630",
"fax_number": "912-819-5860"
}
],
"practiceLocations": [
{
"address_1": "225 Candler Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314056093",
"country_code": "US",
"telephone_number": "912-352-1700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DYKEMA",
"first_name": "PATRICIA",
"middle_name": "MARIE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "4589",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "TL3290",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "257354264A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.