Dean S Attaway, M. D.
Individual provider Active NPI Family Medicine Physician · Lilburn, GA
NPI 1013021229 · NPPES record last updated Nov 27, 2007
Key facts
- NPI
- 1013021229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 021634 (GA)
- Practice address
- 4120 Five Forks Trickum Rd SW
Lilburn, GA 30047-3130 - Phone
- (770) 935-9546
- Fax
- (770) 923-1839
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021634 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Network Medical Providers | Family Medicine | Current | Accepting new patients |
| Dekalb Medical Primary Care Group LLC | Current | Accepting new patients | |
| Emory Medical Group, LLC | Past | Accepting new patients |
Locations
1700 Briarcliff Rd NE
Atlanta, GA 30306
Phone (404) 228-2648
487 Winn Way
Ste 202
Decatur, GA 30030
Phone (404) 294-0702
4153B Flat Shoals Pkwy
Ste 200
Decatur, GA 30034
Phone (404) 585-5049
3550 Centerville Hwy
Snellville, GA 30039
Phone (770) 736-7806
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 021634 | GA | Yes |
Addresses
Primary practice location
4120 Five Forks Trickum Rd SW
Lilburn, GA 30047-3130
Mailing address
PO Box 102846
Atlanta, GA 30368-2846
Phone (404) 501-7925
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00439403D | Medicaid | GA | |
| 080185797 | Other | MEDICARE RAILROAD |
Other providers in Lilburn, GA
- Celeste Atcheson
- Atlanta Cardiac & Vascular Specialists
- Atlanta Homecare Services, LLC
- Atlanta Metro Dental Services, PLLC
- Atoz Care Partners
- Audiology Associates of Georgia, Inc
- Erik Aufderheide
- Frederick J. Augello Jr.
- Avala Dental Providers,LLC
- Sakirat Ayanlola
All providers in Lilburn, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.