Individual provider Active NPI

Dawson Loewen, DC

  • Chiropractor
  • Rutledge, GA
National Provider Identifier
1972364701
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO11132 Issued in GA
Practice address
113 Fairplay St
Rutledge, GA 30663-2377
Phone
(706) 557-0211
NPI assigned
Jan 18, 2024
Last updated
Jan 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO11132 GA Primary

Addresses

Primary practice location

113 Fairplay St
Rutledge, GA 30663-2377

Mailing address

9300 Delk Rd Apt 2301
Covington, GA 30014-1164

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240205000296 GA Practitioner - Chiropractic 6305289661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness Clinic of RutledgeGroup PAC ID 4789768672, 3 clinicians

Practice addresses (Care Compare)

113 Fairplay St
Rutledge, GA 30663-2377
Phone 7065570211102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO11132GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Clinic of Rutledge Chiropractor CurrentSince Jan 31, 2024 Accepting new patients

Locations

113 Fairplay St
Rutledge, GA 30663
Phone (706) 557-0211

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1972364701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 DELK RD APT 2301",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300141164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 FAIRPLAY ST",
            "city": "RUTLEDGE",
            "state": "GA",
            "postal_code": "306632377",
            "telephone_number": "706-557-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEWEN",
        "first_name": "DAWSON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO11132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutledge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.