MEDICARE: DR. BRETT NICOLE MURPHY DAWSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician	054080	GA
2	2084P0804X	Child & Adolescent Psychiatry Physician	54080	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	200200424	OTHER	NC	NC LICENSE

General Provider Information

NPI Number	:	1205905635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRETT NICOLE MURPHY DAWSON MD

Provider Business Mailing Address
First Line	:	3707 2ND AVENUE
Second Line	:	SUITE 111
City	:	COLUMBUS
State	:	GA
Zip	:	31904
Country	:	US
Telephone Number	:	706-464-5490
Fax Number	:	706-243-3409

Provider Business Practice Location Address
First Line	:	3707 2ND AVENUE
Second Line	:	SUITE 111
City	:	COLUMBUS
State	:	GA
Zip	:	31904
Country	:	US
Telephone Number	:	706-464-5490
Fax Number	:	706-243-3409

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	01/29/2026

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