David R Guillen, M.D.

Primary specialty

Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X

License

110558 Issued in GA

Practice address

2000 Lake Park Dr SE
Smyrna, GA 30080-7611

Phone

(678) 556-9411

Fax

(678) 556-9413

NPI assigned

Aug 11, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NC, GA3 enrollments

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 3

Specialty

Dermatology

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Piedmont Plastic Surgery and Dermatology PAGroup PAC ID 6800875188, 56 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.65 of 100Reported as group

Quality

91.92

Promoting interoperability

94

Improvement activities

40

Cost

78.58

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Piedmont Plastic Surgery & Dermatology PA

  • Dermatology Physician
  • Gastonia, NC
  • NPI 1801832837
  Medicare reassignment Care Compare group NPD
• Skinpath Solutions, Inc

  • Dermatopathology (Pathology) Physician
  • Smyrna, GA
  • NPI 1497072920
  Medicare reassignment NPD
• Diagnostic Pathology Medical Group Inc

  • Specialist
  • Davis, CA
  • NPI 1700961927
  Medicare reassignment NPD
• Diagnostic Pathology Medical Group Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Lodi, CA
  • NPI 1023673167
  NPD
• Diagnostic Pathology Medical Group Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Sacramento, CA
  • NPI 1184709313
  NPD
• Diagnostic Pathology Medical Group Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Vallejo, CA
  • NPI 1992199160
  NPD
• Diagnostic Pathology Medical Group, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Carson City, NV
  • NPI 1417636093
  NPD
• Lodi Memorial Hospital Association Inc

  dba Lodi Memorial Hospital

  • General Acute Care Hospital
  • Lodi, CA
  • NPI 1316938301
  NPD
• Podpath, Inc

  dba PodPath Solutions, Inc

  • Dermatopathology (Pathology) Physician
  • Smyrna, GA
  • NPI 1295386928
  NPD (past)
• Ameripath 501a Corporation

  • Clinical Medical Laboratory
  • Dallas, TX
  • NPI 1306817960
  NPD (past)
• Diagnostic Pathology Medical Group Inc

  • Specialist
  • Sacramento, CA
  • NPI 1588749162
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1033120290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 LAKE PARK DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807611",
            "telephone_number": "678-556-9411",
            "fax_number": "678-556-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 LAKE PARK DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807611",
            "telephone_number": "678-556-9411",
            "fax_number": "678-556-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLEN",
        "first_name": "DAVID",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "GA",
            "license": "110558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherwood O Griggs Sr., CSA
• Mary Virginia Grigsby, M.S.
• Grupo Medico de Georgia, LLC
• Guadalupe LLC (Clinica Latina)
• Sara Guevara
• Pierre Guillermo, OTR/L
• Marjetta V. Gulley, LCSW
• Frances Caranto Gumienny, LPC
• Hemachandra Pemasiri Gunawardhana, MD
• Anntonette Gunter

• Dermatopathology (Pathology) Physician in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Dermatopathology (Pathology) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.