Individual provider Active NPI

Ethan Wesley Dean, MD

  • Orthopaedic Hand Surgery Physician
  • Marietta, GA
National Provider Identifier
1093133894
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
89800 Issued in GA
Practice address
620 Cherokee St NE Ste 300
Marietta, GA 30060-7233
Phone
(770) 635-1812
Fax
(770) 485-2883
NPI assigned
Mar 31, 2014
Last updated
Oct 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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 89800 GA
Orthopaedic Hand Surgery Physician 207XS0106X 89800 GA Primary

Addresses

Primary practice location

620 Cherokee St NE Ste 300
Marietta, GA 30060-7233

Mailing address

620 Cherokee St NE Ste 300
Marietta, GA 30060-7233
Phone (770) 635-1812

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
I20211011002127 GA Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 8123244522 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Yale University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Piedmont Orthopedics, LLCGroup PAC ID 4385963172, 191 clinicians

Practice addresses (Care Compare)

390 Ernest W Barrett Pkwy NW
Kennesaw, GA 30144-4989
Phone (770) 426-9945

3929 Peachtree Rd NE
Suite 250
Brookhaven, GA 30319-3374
Phone (404) 352-1053

655 Molly LN
Woodstock, GA 30189-6519
Phone (770) 517-1080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)15
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Orthopedics, LLC Orthopaedic Surgery CurrentSince Nov 1, 2021 Accepting new patients
Orthoatlanta, LLC Orthopaedic Surgery CurrentSince Nov 1, 2021 Accepting new patients
Orthoatlanta, LLC Orthopaedic Surgery CurrentSince Nov 1, 2021 Accepting new patients
Orthoatlanta, LLC Orthopaedic Surgery Current Accepting new patients
Radiology Associates of Atlanta, PA Past Accepting new patients
Orthoatlanta, LLC Orthopaedic Surgery Past Accepting new patients

Locations

1800 Howell Mill Rd NW
Ste 200
Atlanta, GA 30318
Phone (404) 352-1015

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

455 Legends Pl SE
Ste 890
Atlanta, GA 30339
Phone (404) 418-9090

3672 Marathon Cir
Ste 120
Austell, GA 30106
Phone (678) 945-8551

3672 Marathon Cir
Ste 200
Austell, GA 30106
Phone (770) 944-3303

3929 Peachtree Rd NE
Ste 250
Brookhaven, GA 30319
Phone (404) 352-1053

1265 Highway 54 W
Ste 200
Fayetteville, GA 30214
Phone (404) 785-8790

1265 Highway 54 W
Ste 308
Fayetteville, GA 30214
Phone (678) 216-0771

6300 Hospital Pkwy
Ste 140
Johns Creek, GA 30097
Phone (404) 357-0456

6300 Hospital Pkwy
Ste 400
Johns Creek, GA 30097
Phone (678) 205-4261

771 Old Norcross Rd
Ste 155
Lawrenceville, GA 30046
Phone (678) 957-0757

771 Old Norcross Rd
Ste 390
Lawrenceville, GA 30046
Phone (678) 957-0757

440 Charter Blvd
Ste 3302
Macon, GA 31210
Phone (478) 405-7977

620 Cherokee St NE
Ste 300
Marietta, GA 30060
Phone (770) 635-1812

354 Newnan Crossing Byp
Ste 200
Newnan, GA 30265
Phone (770) 460-1900

2785 Highway 54
Peachtree City, GA 30269
Phone (404) 357-0456

1700 Tree Ln
Ste 140
Snellville, GA 30078
Phone (678) 829-4377

1240 Eagles Landing Pkwy
Ste 300
Stockbridge, GA 30281
Phone (770) 506-4350

1240 Eagles Landing Pkwy
Ste 320
Stockbridge, GA 30281
Phone (404) 357-0456

970 Woodstock Pkwy
Ste 310
Woodstock, GA 30188
Phone (678) 214-6123

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/327/brand/1/csg/21/fhir/r4

Organizations & group practices 6

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 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": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1093133894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 CHEROKEE ST NE STE 300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607233",
            "telephone_number": "770-635-1812",
            "fax_number": "770-485-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 CHEROKEE ST NE STE 300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607233",
            "telephone_number": "770-635-1812",
            "fax_number": "770-485-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "ETHAN",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-31",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "89800",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "GA",
            "license": "89800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.