Active NPI
Amber Marie Dawson, FNP-C
- Family Nurse Practitioner
- Douglas, GA
National Provider Identifier
1972273100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN23200
- Practice address
- 1101 Ocilla Rd
Douglas, GA 31533-2262 - Phone
- (912) 384-1900
- NPI assigned
- Sep 19, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN23200 | GA | Primary |
Addresses
Primary practice location
1101 Ocilla Rd
Douglas, GA 31533-2262
Mailing address
1140 Ga Highway 64 E
Pearson, GA 31642-5645
Phone (912) 422-4648
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN23200 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coffee Regional Medical Center, Inc | Past | Accepting new patients | |
| CRH Physician Practices, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Douglas, GA
- NPI 1437120946
-
- Urology Physician
- Douglas, GA
- NPI 1306359781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632009600000",
"number": "1972273100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 GA HIGHWAY 64 E",
"city": "PEARSON",
"state": "GA",
"postal_code": "316425645",
"telephone_number": "912-422-4648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 OCILLA RD",
"city": "DOUGLAS",
"state": "GA",
"postal_code": "315332262",
"telephone_number": "912-384-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "AMBER",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-19",
"last_updated": "2021-09-19",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN23200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Douglas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.