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Dr. Dane Douglas Dicaro , DO

General Practice β€’ Fort Stewart, GA

Active NPI 1639582620 Individual Practitioner Male Practitioner
Practice location in NPPES

1061 Harmon Ave, Ste 1d03
Fort Stewart, GA 313145641

Call 9124355965 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1061 Harmon Ave
Ste 1d03

Fort Stewart, GA 313145641

Telephone 9124355965
Organization at the Same NPPES Address or Phone
Wach,fort Stewart,ga Facility NPI 1093714461

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fort Stewart and Georgia

10 active clinicians are listed under General Practice with a practice address in Fort Stewart, GA (316 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES GA 75053

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Military Health Care Provider

NUCC Taxonomy Code: 171000000X

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Eileen Miller

Nurse Practitioner - Family

NPI 1669804274
NPI 1790101566

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2021

Military Health Care Provider

βœ…
NPI Profile Active November 18, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 18, 2015

Registered at 1061 HARMON AVE, STE 1D03, FORT STEWART, GA 313145641 (Tel: 9124355965)

πŸ“
Business Mailing Address (Initial Record) November 18, 2015

Registered at 1061 HARMON AVE, STE 1D03, FORT STEWART, GA 313145641 (Tel: 9124355965)

πŸ‘€
Provider Name / Credentials (Initial Record) November 18, 2015

Recorded as DANE DICARO, D.O.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2015

General Practice (license number reported to NPPES: GA 75053)

🟒
Initial NPI Registration & Enumeration June 06, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1639582620
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2014
Last Update: November 30, 2021
Sole Proprietor: No

Mailing Address

1061 Harmon Ave, Ste 1d03

Fort Stewart, GA 313145641

Phone: 9124355965

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.