Organization Active NPI

Dwight G. a. Dawkins, MD, PA

  • Family Medicine Physician
  • Fort Pierce, FL
National Provider Identifier
1942530951
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DWIGHT G. A. DAWKINS, MD, PA
Practice address
2100 Nebraska Ave
Suite 201
Fort Pierce, FL 34950-4831
Phone
(772) 461-1191
Fax
(772) 461-1180
NPI assigned
Jan 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Authorized official

Name
Dwight G.a. Dawkins, M.D.NPI 1164492005
Title
Owner
Phone
(772) 461-1191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2100 Nebraska Ave
Suite 201
Fort Pierce, FL 34950-4831

Mailing address

2100 Nebraska Ave
Suite 201
Fort Pierce, FL 34950-4831
Phone (772) 461-1191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100301000131 FL Part B Supplier - Clinic/Group Practice 7618012790 Receives reassigned benefits from 7 practitioners
Practice locations: Port Saint Lucie, FL; Fort Pierce, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1942530951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 NEBRASKA AVE",
            "address_2": "SUITE 201",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504831",
            "telephone_number": "772-461-1191",
            "fax_number": "772-461-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NEBRASKA AVE",
            "address_2": "SUITE 201",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504831",
            "telephone_number": "772-461-1191",
            "fax_number": "772-461-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWIGHT G. A. DAWKINS, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "DAWKINS",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "G.A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-461-1191",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.