NPIMap

Individual provider Active NPI

Samuel Gregory Hawkins, D.M.D.

  • General Practice Dentistry
  • Decatur, AL
National Provider Identifier
1992715791
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4231 Issued in AL
Practice address
1823 Somerville Rd SE
Decatur, AL 35601-5015
Phone
(256) 355-2275
Fax
(256) 301-1240
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4231 AL Primary

Addresses

Primary practice location

1823 Somerville Rd SE
Decatur, AL 35601-5015

Mailing address

1815 Somerville Serd
Decatur, AL 35601-5015
Phone (256) 353-5600

Other identifiers 2

IdentifierTypeStateIssuer
000091741MedicaidAL
51091741OtherALBCBS OF AL

Other names 1

  • Dr. Greg Hawkins Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151123002972 AL Order and Referring Only - DentistPractitioner - Dentist 2668772658

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hawkins McCaghren Partnership General Practice Past Accepting new patients
Dental Associates of Huntsville, LLC General Practice Past Accepting new patients

Organizations & group practices 7

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1992715791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 SOMERVILLE SERD",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356015015",
            "telephone_number": "256-353-5600",
            "fax_number": "256-351-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 SOMERVILLE RD SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356015015",
            "telephone_number": "256-355-2275",
            "fax_number": "256-301-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "SAMUEL",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000091741",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "51091741",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GREG",
            "last_name": "HAWKINS",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.