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DAWSON TAN MD
NPI 1639969017
Student in an Organized Health Care Education/Training Program in Greensboro, NC

Active since May 08, 2025PECOS Enrolled
1200 N ELM ST, GREENSBORO, NC 27401(336) 832-7272(336) 832-8641 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dawson Tan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAWSON TAN MD (NPI 1639969017) is an individual student in an organized health care education/training program in Greensboro, North Carolina and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639969017
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDAWSON TANCredential: MD
Location Address1200 N ELM STGreensboro, NC 27401-1004
Mailing Address1200 N Elm StGreensboro, NC 27401-1004 · (336) 832-7272 · Fax (336) 832-8641
Phone(336) 832-7272
Fax(336) 832-8641
Sole ProprietorNo
Enumeration DateMay 8, 2025
NPPES CertifiedMay 8, 2025
✔ NPI 1639969017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1200 N ELM ST, Greensboro, NC 27401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dawson Tan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

CHRISTINA MARIA ALBERT MD
Family Medicine
1200 N ELM ST
GREENSBORO, NC 27401
Guilford County (336) 832-7000
DR. PRINCE ADU AMOAKO MD
Student in an Organized Health Care Education/Training Program
1200 N ELM ST
GREENSBORO, NC 27401
Guilford County (336) 832-7272
DR. STEPHEN THOMAS RANCOUR M. D.
Emergency Medicine
1200 N ELM ST
GREENSBORO, NC 27401
Guilford County (336) 716-2255
PAMELA JEAN REITNAUER MD
Pediatrics
1200 N ELM ST
GREENSBORO, NC 27401
Guilford County (336) 832-8060
DR. DIANA LAVINDER NGUYEN MD
Student in an Organized Health Care Education/Training Program
1200 N ELM ST
GREENSBORO, NC 27401
Guilford County (336) 832-7272
STEPHANIE NICOLE DIXON FNP-C
Nurse Practitioner
1200 N ELM ST
GREENSBORO, NC 27401
Guilford County (336) 832-7000
ABDULLAHI HUSSEIN MD
Internal Medicine (Critical Care Medicine)
1200 N ELM ST
GREENSBORO, NC 27401
Guilford County (336) 522-8999
MR. MARK JOSEPH SAWULSKI P.T.
Physical Therapist
1200 N ELM ST
GREENSBORO, NC 27401
Guilford County (336) 832-8120

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 Dawson Tan's NPI number?

The NPI number for Dawson Tan is 1639969017. It was assigned to this individual provider in the NPPES registry on May 8, 2025.

Where is Dawson Tan located?

Dawson Tan practices at 1200 N Elm St, Greensboro, NC 27401. The listed phone number is (336) 832-7272.

What is Dawson Tan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dawson Tan enrolled in Medicare?

Yes. Dawson Tan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dawson Tan was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.