Jacqui M Dawson, D.O.
Individual provider Active NPI Family Medicine Physician · Riverview, FL
NPI 1962514745 · NPPES record last updated Aug 25, 2021
Key facts
- NPI
- 1962514745
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OS0006656 (FL)
- Practice address
- 7229 US Highway 301 S
Riverview, FL 33578-4346 - Phone
- (813) 677-8418
- Fax
- (813) 864-8018
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Nova Southeastern College of Osteo Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ohi West Medical Group II LLC
Practice addresses (Care Compare)
38101 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 715-0195
38103 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 778-0414
38105 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 815-5380
38107 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 979-0440
38135 Market Square Dr
Zephyrhills, FL 33542-7505
7229 US Hwy 301 S
Riverview, FL 33578-4346
Phone (813) 677-8418
Hospital & facility affiliations
- Amedisys Home Health
- St Josephs Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100924001239 | FL | Practitioner - Family Practice | 3779624465 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS0006656 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohi West Medical Group II LLC | Current |
Accepting new patients | |
| Florida Medical Clinic, LLC | Current |
Accepting new patients | |
| Florida Medical Clinic LLC | Current |
Accepting new patients | |
| Family Medical Care of Riverview PA | Family Medicine | Current | Accepting new patients |
| Ohi West Medical Group II LLC | Current |
Accepting new patients | |
| Ohi West Medical Group II LLC | Past | Accepting new patients |
Locations
7229 US Highway 301 S
Riverview, FL 33578
Phone (813) 677-8418
6037 Winthrop Commerce Ave
Ste 201
Riverview, FL 33578
Phone (813) 677-8418
38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188
38135 Market Square Dr
Ste 101
Zephyrhills, FL 33542
Phone (813) 788-7651
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS0006656 | FL | Yes |
Addresses
Primary practice location
7229 US Highway 301 S
Riverview, FL 33578-4346
Mailing address
38135 Market SQ
Zephyrhills, FL 33542-7505
Phone (813) 528-4975
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 253225500 | Medicaid | FL | |
| P01202207 | Other | FL | R&R MEDICARE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fmcr@flmed.directbygreenway.com | Health Information Exchange (HIE) |
Other providers in Riverview, FL
- Alisa Colleen Davis
- Brianna Davis
- Felecia A Davis
- Onyx Shoshana Davis
- Saniyah Kelis Davis
- Lanaye Monique Daymond
- Jennifer De Gaspard
- Stacie De L'Etoile
- Jose Julian De la Rocha
- Carla De Souza
All providers in Riverview, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2021. 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.