Individual provider Active NPI

Diamondis John Papadopoulos, M.D.

  • MOHS-Micrographic Surgery Physician
  • Atlanta, GA
National Provider Identifier
1023015690
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
22773 Issued in GA
Practice address
875 Johnson Ferry Rd NE
Ste 300
Atlanta, GA 30342-1418
Phone
(404) 257-9933
Fax
(404) 257-9931
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metroderm, P.C. 33 clinicians

Practice addresses (Care Compare)

148 Bill Carruth Pkwy
Suite 280
Hiram, GA 30141-3756
Phone (404) 257-9933

4150 Five Forks Trickum Rd SW
Suite 3
Lilburn, GA 30047-3130
Phone (770) 921-4740

4374 Atlanta Hwy
Suite 103
Hiram, GA 30141-1849
Phone (770) 726-1277

875 Johnson Ferry Rd
Atlanta, GA 30342-1418

875 Johnson Ferry Rd NE
Suite 001
Atlanta, GA 30342-1418
Phone (404) 257-9933

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision86
Removal of tissue1-10
Removal of skin lesions336
Removal of skin cancer1038
Skin biopsy132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100909000128 GA Practitioner - Dermatology 0941231302 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22773GAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metroderm, P.C. Mohs-Micrographic Surgery CurrentSince Jan 2, 2003 Accepting new patients
Metroderm, P.C. CurrentSince Jan 2, 2003 Accepting new patients

Locations

4374 Atlanta Hwy
Ste 103
Hiram, GA 30141
Phone (770) 726-1277

875 Johnson Fy Rd NE
Ste 180
Sandy Springs, GA 30342
Phone (404) 778-8075

875 Johnson Ferry Rd
Ste 150
Sandy Springs, GA 30342
Phone (404) 257-9933

875 Johnson Fy Rd NE
Ste 300
Sandy Springs, GA 30342
Phone (404) 257-9933

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 22773 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

875 Johnson Ferry Rd NE
Ste 300
Atlanta, GA 30342-1418

Mailing address

875 Johnson Ferry Rd NE
Ste 300
Atlanta, GA 30342-1418
Phone (404) 257-9933

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 21, 2010.

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1023015690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 JOHNSON FERRY RD NE",
            "address_2": "STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421418",
            "telephone_number": "404-257-9933",
            "fax_number": "404-257-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 JOHNSON FERRY RD NE",
            "address_2": "STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421418",
            "telephone_number": "404-257-9933",
            "fax_number": "404-257-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPADOPOULOS",
        "first_name": "DIAMONDIS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "GA",
            "license": "22773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.