DR. DAWN-ALITA ROBERTS HERNANDEZ M.D.
NPI 1265449854
Internal Medicine - Pulmonary Disease in Thomasville, NC
About Dr. Dawn-alita Roberts Hernandez M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAWN-ALITA ROBERTS HERNANDEZ M.D. (NPI 1265449854) is an individual pulmonary disease provider in Thomasville, North Carolina, licensed in North Carolina (2026-02925) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Mclaren Northern Michigan, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Dawn-alita Roberts Hernandez M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
7Medicare enrollment records show Dawn-alita Hernandez reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Thomasville, NC 27360
- Reassigned Medicare billing, North Carolina enrollment
- 2,998 clinicians in this Medicare group
Battle Creek, MI 49017
- Reassigned Medicare billing, Michigan enrollment
- 557 clinicians in this Medicare group
Niles, MI 49120
- Reassigned Medicare billing, Michigan enrollment
- 724 clinicians in this Medicare group
Kalamazoo, MI 49007
- Reassigned Medicare billing, Michigan enrollment
- 1,133 clinicians in this Medicare group
Petoskey, MI 49770
- Reassigned Medicare billing, Michigan enrollment
- 149 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Arizona enrollment
- 556 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Michigan enrollment
- 666 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mclaren Northern Michigan
Acute Care Hospitals · Petoskey, MINovant Health Thomasville Medical Center
Acute Care Hospitals · Thomasville, NCJohnson City Medical Center
Acute Care Hospitals · Johnson City, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27360 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
THOMASVILLE, NC 27360
THOMASVILLE, NC 27360
THOMASVILLE, NC 27360
THOMASVILLE, NC 27360
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dawn-alita Hernandez's NPI number?
The NPI number for Dawn-alita Hernandez is 1265449854. It was assigned to this individual provider in the NPPES registry on August 3, 2006.
Where is Dawn-alita Hernandez located?
Dawn-alita Hernandez practices at 207 Old Lexington Rd, Thomasville, NC 27360. The listed phone number is (336) 474-4780.
What is Dawn-alita Hernandez's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Dawn-alita Hernandez enrolled in Medicare?
Yes. Dawn-alita Hernandez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Dawn-alita Hernandez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dawn-alita Hernandez reassigns Medicare benefits to 7 organizations: Novant Health Medical Group, LLC (Thomasville, NC), Bronson Battle Creek Hospital (Battle Creek, MI), Lakeland Medical Practices (Niles, MI), Bronson Methodist Hospital (Kalamazoo, MI), Mclaren Northern Michigan (Petoskey, MI) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dawn-alita Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dawn-alita Hernandez accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Dawn-alita Hernandez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Dawn-alita Hernandez affiliated with any hospitals?
According to CMS data, Dawn-alita Hernandez is affiliated with Mclaren Northern Michigan, Novant Health Thomasville Medical Center and Johnson City Medical Center.
When was this NPI record last updated?
The NPPES record for Dawn-alita Hernandez was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Dawn-Alita Roberts Hernandez, M.D. · NPI 1265449854
Pulmonary Disease physician in Thomasville, North Carolina. Individual provider, active in the CMS NPPES registry since August 3, 2006.
## Identity
- **NPI:** 1265449854 (Entity type: Individual)
- **Enumerated:** August 3, 2006
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** 2026-02925 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 207 OLD LEXINGTON RD, Thomasville, NC 27360-3428
- **Phone:** (336) 474-4780
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Novant Health Medical Group, LLC (NPI 1588372825, Thomasville, NC); Bronson Battle Creek Hospital (NPI 1093119638, Battle Creek, MI); Lakeland Medical Practices (NPI 1134898505, Niles, MI); Bronson Methodist Hospital (NPI 1417961137, Kalamazoo, MI); Mclaren Northern Michigan (NPI 1760736094, Petoskey, MI); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** August 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1265449854) · Data from the CMS NPPES public registry.