Individual provider Active NPI

Carl V Washington, M.D.

  • Procedural Dermatology Physician
  • Decatur, GA
National Provider Identifier
1255345419
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
032322 Issued in GA
Practice address
1951 Clairmont Rd
Decatur, GA 30033-3415
Phone
(404) 321-4600
Fax
(404) 320-0987
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 032322 GA Primary

Addresses

Primary practice location

1951 Clairmont Rd
Decatur, GA 30033-3415

Mailing address

2665 N Decatur Rd
Suite 650
Decatur, GA 30033-6149
Phone (404) 508-0566

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
I20100825000581 GA Practitioner - DermatologyPractitioner - Other (Physician) 7618091851 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Michigan Medical School, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates of Georgia, LLCGroup PAC ID 3678547569, 11 clinicians

Practice addresses (Care Compare)

1951 Clairmont Rd
Decatur, GA 30033-3415
Phone (404) 321-4600

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision52
Removal of skin lesions248
Removal of skin cancer370
Skin biopsy77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
032322GAMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Emory Clinic Inc CurrentSince Aug 10, 1989 Accepting new patients
Dermatology Associates of Georgia, LLC CurrentSince May 1, 2012 Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

2665 N Decatur Rd
Ste 650
Decatur, GA 30033

1951 Clairmont Rd
Decatur, GA 30033
Phone (404) 321-4600

201 Michael Etchison Rd
Monroe, GA 30655
Phone (770) 267-5877

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: carl.washington.p1@direct.dermga.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1255345419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 N DECATUR RD",
            "address_2": "SUITE 650",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336149",
            "telephone_number": "404-508-0566",
            "fax_number": "404-508-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 CLAIRMONT RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333415",
            "telephone_number": "404-321-4600",
            "fax_number": "404-320-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "CARL",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "GA",
            "license": "032322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.