Individual provider Active NPI

Andrew Dold, D.O.

  • Infectious Disease Physician
  • Dacula, GA
National Provider Identifier
1073718516
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
058863 Issued in GA
Practice address
3625 Braselton Hwy Ste 104
Dacula, GA 30019-4696
Phone
(678) 206-2111
NPI assigned
Jun 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 058863 GA Primary

Addresses

Primary practice location

3625 Braselton Hwy Ste 104
Dacula, GA 30019-4696

Mailing address

5400 Laurel Springs Pkwy Ste 1404
Suwanee, GA 30024-6098
Phone (678) 347-2153

Other practice location 1

5400 Laurel Springs Pkwy Ste 1404
Suwanee, GA 30024-6098
Phone (678) 347-2153

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
I20080428000016 GA Practitioner - Infectious DiseasePractitioner - Internal Medicine 2163482548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infectious Disease Consultants PCGroup PAC ID 4587550298, 10 clinicians

Practice addresses (Care Compare)

5400 Laurel Springs Pkwy
Suite 1404
Suwanee, GA 30024-6098
Phone (678) 347-2153

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.87 of 100Reported as group
Quality
84.34
Improvement activities
40
Cost
83.33

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Consultants, PC Infectious Disease CurrentSince Aug 1, 2007 Accepting new patients
Executive Health Resources Clinical Staffing Solutions PC Past Accepting new patients
Clinical Staffing Solutions P.C. Past Accepting new patients
Milton Hall Surgical Associates, LLC Past Accepting new patients

Locations

3625 Braselton Hwy
Ste 104
Dacula, GA 30019
Phone (678) 206-2111

759 Old Norcross Rd
Lawrenceville, GA 30046
Phone (404) 300-2379

5400 Laurel Springs Pkwy
Ste 1404
Suwanee, GA 30024
Phone (678) 347-2153

6916 McGinnis Ferry Rd
#100
Suwanee, GA 30024
Phone (678) 347-2100

1370 Montreal Rd
Ste 130
Tucker, GA 30084
Phone (678) 990-1383

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIAABD
  • Direct secure messaging: andrew.dold@idcga.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1073718516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 LAUREL SPRINGS PKWY STE 1404",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246098",
            "telephone_number": "678-347-2153",
            "fax_number": "678-928-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 BRASELTON HWY STE 104",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194696",
            "telephone_number": "678-206-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5400 Laurel Springs Pkwy Ste 1404",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300246098",
            "country_code": "US",
            "telephone_number": "678-347-2153",
            "fax_number": "678-928-4722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLD",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "058863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

Verify at the official NPI Registry.