DR. TEDD EUGENE DAWSON MD
NPI 1457330680
General Practice in Willits, CA
About Dr. Tedd Eugene Dawson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TEDD EUGENE DAWSON MD (NPI 1457330680) is an individual general practice provider in Willits, California, licensed in California (C38007) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Tedd Eugene Dawson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tedd Dawson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ukiah, CA 95482
- Reassigned Medicare billing, California enrollment
- 121 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tedd Dawson's NPI number?
The NPI number for Tedd Dawson is 1457330680. It was assigned to this individual provider in the NPPES registry on January 16, 2006.
Where is Tedd Dawson located?
Tedd Dawson practices at 1196 S Main St, Willits, CA 95490. The listed phone number is (707) 459-3070.
What is Tedd Dawson's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Tedd Dawson enrolled in Medicare?
Yes. Tedd Dawson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tedd Dawson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tedd Dawson reassigns Medicare benefits to Mendocino Community Health Clinic, Inc. (Ukiah, CA). The 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 Tedd Dawson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tedd Dawson was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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. Tedd Eugene Dawson, MD · NPI 1457330680
General Practice physician in Willits, California. Individual provider, active in the CMS NPPES registry since January 16, 2006.
## Identity
- **NPI:** 1457330680 (Entity type: Individual)
- **Enumerated:** January 16, 2006
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** C38007 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1196 S MAIN ST, Willits, CA 95490-4304
- **Phone:** (707) 459-3070
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mendocino Community Health Clinic, Inc. (NPI 1750809463, Ukiah, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 11, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1457330680) · Data from the CMS NPPES public registry.