Dawson Medical Center – Federally Qualified Health Center (FQHC), NPI 1730114208
Federally Qualified Health Center (FQHC)
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Dawson Medical Center
505 FORRESTER DRIVE SE
DAWSON, GA 39842
Phone: (229) 995-2990
Fax: (229) 995-2993
Type: Location
2408 WESTGATE DR
ALBANY, GA 317072277
Phone: (229) 888-6559
Fax: (229) 436-4107
Type: Mailing
204, North Westover Boulevard, Pointe North, Westwood, Albany, Dougherty County, Georgia, 31707, United States
ALBANY, GA 317072983
Phone: (229) 888-6559
Fax: (229) 436-4107
Type: Mailing
420, Johnson Street Southeast, Dawson, Terrell County, Georgia, 39842, United States
DAWSON, GA 398421523
Phone: (229) 995-2990
Fax: (229) 995-2993
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-09-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20050907000798 | O | Federally Qualified Health Center (Fqhc) | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 39842)
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