Trisha N Daley, MD
Individual provider Active NPI Dermatology Physician · Cumming, GA
NPI 1124014246 · NPPES record last updated Jul 13, 2009
Key facts
- NPI
- 1124014246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- 059398 (GA)
- Practice address
- 960 Sanders Rd
Suite 300
Cumming, GA 30041-5962 - Phone
- (770) 205-0104
- Fax
- (770) 205-0975
- NPI assigned
- Sep 23, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Dermatology
- Education
- University of California, Geffen School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
960 Sanders Rd
Suite 300
Cumming, GA 30041-5962
960 Sanders Rd
Suite 300
Cumming, GA 30041-5978
Phone (770) 205-0104
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 313 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 149 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090626000217 | GA | Practitioner - Dermatology | 4688661754 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 237350 | NY | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aesthetic Dermatology, PC | Dermatology | Current |
Accepting new patients |
| Howard D. Solomon, DO, PC | Dermatology | Past | Accepting new patients |
| Advanced Dermatology PC | Dermatology | Past |
Accepting new patients |
Locations
960 Sanders Rd
Ste 300
Cumming, GA 30041
Phone (770) 205-0104
Interoperability endpoints
- tdaley@directaddress.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 237350 | NY | |
| Dermatology Physician | 207N00000X | 059398 | GA | Yes |
Addresses
Primary practice location
960 Sanders Rd
Suite 300
Cumming, GA 30041-5962
Mailing address
960 Sanders Rd
Suite 300
Cumming, GA 30041-5962
Phone (770) 205-0104
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 421508605A | Medicaid | GA | |
| 02578361 | Medicaid | NY |
Other providers in Cumming, GA
- Dawn B Dahlen
- Angela Dainas
- Donald R. Dalbey
- Ashley Strickland Dale
- Debbie-Ann Daley
- Megan Damon
- Emily Damsker
- Andrea Blaire Daniel
- Cheryl Daniel
- Jessica Daniels
All providers in Cumming, GA · Dermatology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.