Individual provider Active NPI

Daniel C. Rabb, MEDICAL DOCTOR

  • Dermatology Physician
  • Gainesville, GA
National Provider Identifier
1194713016
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
034447 Issued in GA
Practice address
974 S Enota Dr NE
Gainesville, GA 30501-2429
Phone
(770) 536-7546
Fax
(678) 343-2006
NPI assigned
Oct 13, 2005
Last updated
May 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 034447 GA
Dermatology Physician 207N00000X 034447 GA Primary

Addresses

Primary practice location

974 S Enota Dr NE
Gainesville, GA 30501-2429

Mailing address

974 S Enota Dr NE
Gainesville, GA 30501-2429
Phone (770) 536-7546

Other identifiers 1

IdentifierTypeStateIssuer
000473404BMedicaidGA

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
I20041217000253 GA Practitioner - Dermatology 4789641093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Georgia School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metroderm, P.C.Group PAC ID 8729076443, 33 clinicians

Practice addresses (Care Compare)

974 S Enota Dr NE
Gainesville, GA 30501-2429
Phone (770) 536-7546

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision235
Removal of tissue1-10
Removal of skin lesions1126
Removal of skin cancer724
Removal of nail tissue1-10
Removal or shaving of skin growth104
Skin biopsy232

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates NE Ga Dermatology Current Accepting new patients
Metroderm, P.C. Specialist CurrentSince Nov 1, 2022 Accepting new patients
Metroderm, P.C. CurrentSince Nov 1, 2022 Accepting new patients

Locations

134 Ansley Dr
Ste 502
Dahlonega, GA 30533
Phone (770) 536-7546

225 Adams Dr
Demorest, GA 30535
Phone (770) 532-8438

974 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 536-7546

875 Johnson Fy Rd NE
Ste 300
Sandy Springs, GA 30342
Phone (404) 257-9933

Organizations & group practices 3

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 1

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1194713016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 S ENOTA DR NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012429",
            "telephone_number": "770-536-7546",
            "fax_number": "678-343-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 S ENOTA DR NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012429",
            "telephone_number": "770-536-7546",
            "fax_number": "678-343-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABB",
        "first_name": "DANIEL",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "MEDICAL DOCTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "034447",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "034447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000473404B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.