MISS DAWN CAMILLE FERGUSON M.D.
NPI 1861560021
Rehabilitation Practitioner in Dallas, GA
- Individual
- Female
- Rehabilitation Practitioner
About DAWN FERGUSON
This page provides the complete NPI Profile along with additional information for Dawn Ferguson, a provider established in Dallas, Georgia with a medical specialization in Rehabilitation Practitioner. The healthcare provider is registered in the NPI registry with number 1861560021 assigned on December 2006. The practitioner's primary taxonomy code is 225400000X with license number 035179 (GA). The provider is registered as an individual and her NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.
- NPI
- 1861560021 Verify this NPI
- Provider Name
- MISS DAWN CAMILLE FERGUSON M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 311 WHITE INGRAM PKWY DALLAS, GA 30132
- Location Phone
- (678) 647-9947
- Location Fax
- (678) 363-7787
- Mailing Address
- 1096 FOX ST SE CONYERS, GA 30013
- Mailing Phone
- (770) 634-6332
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-04-2006
- Last Update Date
- 01-08-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Rehabilitation Practitioner
- Taxonomy Code
- 225400000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 035179
- License State
- GA
- Taxonomy Description
- A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2083A0300X | Allopathic & Osteopathic Physicians | Preventive Medicine | 035179 (GA) |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000616932E | MEDICAID (05) | GA |
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Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861560021, enumerated as an "individual" on December 04, 2006.
The provider is located at 311 WHITE INGRAM PKWY DALLAS, GA 30132 and the phone number is (678) 647-9947.
Rehabilitation Practitioner with taxonomy code 225400000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.