Individual provider Active NPI

David E Kent, MD

  • MOHS-Micrographic Surgery Physician
  • Macon, GA
National Provider Identifier
1194722850
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
025625 Issued in GA
Practice address
308 Coliseum Dr
Suite 200
Macon, GA 31217-3876
Phone
(478) 742-2180
Fax
(478) 745-2623
NPI assigned
Jul 7, 2005
Last updated
Oct 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 025625 GA
MOHS-Micrographic Surgery Physician 207ND0101X 025625 GA Primary

Addresses

Primary practice location

308 Coliseum Dr
Suite 200
Macon, GA 31217-3876

Mailing address

308 Coliseum Dr
Suite 200
Macon, GA 31217-3865
Phone (478) 742-2180

Other identifiers 1

IdentifierTypeStateIssuer
000283973DMedicaidGA

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
I20101108000125 GA Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 6901799113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
Medical College of Georgia School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Care Physicians of Georgia, P.C..Group PAC ID 7517850712, 15 clinicians

Practice addresses (Care Compare)

308 Coliseum Dr
Suite 200
Macon, GA 31217-3861
Phone (478) 742-2180

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision166
Removal of skin lesions521
Removal of skin cancer766
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy339

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025625GAMDMOHS-Micrographic Surgery Physician
25025GAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Care Physicians of Georgia, P.C. Dermatology CurrentSince Dec 17, 1996 Accepting new patients

Locations

910 N 5th St
Cordele, GA 31015
Phone (229) 271-4652

260 W Clinton St
Gray, GA 31032
Phone (478) 845-7462

1210 Commerce Dr
Ste 113114
Greensboro, GA 30642
Phone (478) 742-2180

3758 Highway 42 S
Ste 302
Locust Grove, GA 30248
Phone (478) 742-2180

308 Coliseum Dr
Ste 200
Macon, GA 31217
Phone (478) 314-0784

330 Hospital Dr
Bldg C
Macon, GA 31217
Phone (478) 742-2180

116 Tommy Stalnaker Dr
#A
Warner Robins, GA 31088
Phone (478) 742-4847

Interoperability endpoints

  • Direct secure messaging: david.kent.1@14077.direct.athenahealth.com
  • Direct secure messaging: dkent433711@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 1

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1194722850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 COLISEUM DR",
            "address_2": "SUITE 200",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173865",
            "telephone_number": "478-742-2180",
            "fax_number": "478-745-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 COLISEUM DR",
            "address_2": "SUITE 200",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173876",
            "telephone_number": "478-742-2180",
            "fax_number": "478-745-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT",
        "first_name": "DAVID",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "025625",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "GA",
            "license": "025625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000283973D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.