Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vanessa Nicole Dawson, PA

Individual provider Physician Assistant · NPI 1477521383

Vanessa Nicole Dawson, PA is a Physician Assistant in Novi, Michigan. Qualified in 2004, 22 years ago. Practices with Theoria Medical, a 342-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia, Michigan, Montana and North Carolina.

Years since qualifying
22
Licensed in
GA, MI, MT, NC
In the registry since
2006
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

41800 W 11 Mile Rd Ste 109
Novi, MI 48375-1818
Phone: (248) 660-1220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1287 Burns Way, Kalispell, MT 59901-3109 — (406) 752-8120

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601007664 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 104203 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 005206 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 134500 (MT)

Record details

NPI number1477521383
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 8, 2006
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Theoria Medical — 342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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