Nathaniel Tyler Dillard, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

113960 Issued in GA

Practice address

2200 Medical Center Blvd Ste 320
Lawrenceville, GA 30046-7767

Phone

(470) 325-1160

Fax

(678) 701-9860

NPI assigned

May 4, 2021

Last updated

Jun 23, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ndillard352905@directhisp.wakemed.org

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.

• Northside Surgical Professional Services LLC

  • Surgery Physician
  • Atlanta, GA
  • NPI 1356630990
  NPD (past)

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1275116451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 WHITE BIRCH PT",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305064312",
            "telephone_number": "678-617-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 MEDICAL CENTER BLVD STE 320",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467767",
            "telephone_number": "470-325-1160",
            "fax_number": "678-701-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLARD",
        "first_name": "NATHANIEL",
        "middle_name": "TYLER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-04",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": "113960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delia Kema Diggs, HAIR LOSS SPECIALIST
• Dignity Care Homes, LLC
• Dignity Care Services, LLC
• Venkateswara Rao Dikkala, M.D.
• Darren Dillard, DO
• Nyja Dilonardo, LCSW
• Jason R. Dimonda, PAAA
• Whitney Din
• Nura Dine
• James Ding, DO

• Vascular Surgery Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Vascular Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.