NPIMap

Individual provider Active NPI

Jeffry Dressander, MD

  • Orthopaedic Surgery Physician
  • Roswell, GA
National Provider Identifier
1063480861
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
061844 Issued in GA
Practice address
11650 Alpharetta Hwy
Suite 100
Roswell, GA 30076
Phone
(404) 596-5670
Fax
(404) 480-3955
NPI assigned
Mar 9, 2006
Last updated
Aug 23, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2005032617 MO
Orthopaedic Surgery Physician 207X00000X 061844 GA Primary

Addresses

Primary practice location

11650 Alpharetta Hwy
Suite 100
Roswell, GA 30076

Mailing address

11650 Alpharetta Hwy
Suite 100
Roswell, GA 30076
Phone (404) 596-5670

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231130001371 SD Practitioner - Orthopedic Surgery 9335034016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Rush Medical College of Rush University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of BrookingsGroup PAC ID 1052307105, 112 clinicians

Practice addresses (Care Compare)

300 22ND Ave
Brookings, SD 57006-2480
Phone (605) 692-6351

300 22ND Ave
Brookings, SD 57006-2496

310 22ND Ave
Brookings, SD 57006-2474
Phone (605) 697-9500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement11
Knee replacement13
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
061844GAMDOrthopaedic Surgery Physician
2005032617MOMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Brookings Current Accepting new patients
Integrity Spine and Orthopedics LLC Orthopaedic Surgery CurrentSince Mar 3, 2024 Accepting new patients
City of Brookings CurrentSince Oct 16, 2023 Accepting new patients
City of Brookings CurrentSince Oct 16, 2023 Accepting new patients

Locations

14785 Old St Augustine Rd
Ste 100
Jacksonville, FL 32258
Phone (904) 292-1808

300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351

Interoperability endpoints

  • Direct secure messaging: jeffry.dressander@avera.sdhealthlink.net

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1063480861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11650 ALPHARETTA HWY",
            "address_2": "SUITE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "30076",
            "telephone_number": "404-596-5670",
            "fax_number": "707-338-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 ALPHARETTA HWY",
            "address_2": "SUITE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "30076",
            "telephone_number": "404-596-5670",
            "fax_number": "404-480-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRESSANDER",
        "first_name": "JEFFRY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2005032617",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "061844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.