Individual provider Active NPI

Patrick A Conarro, M.D.

  • Surgery Physician
  • Dahlonega, GA
National Provider Identifier
1295829968
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
030737 Issued in GA
Practice address
64 Mountain Dr
Dahlonega, GA 30533-1601
Phone
(706) 864-6196
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 030737 GA Primary

Addresses

Primary practice location

64 Mountain Dr
Dahlonega, GA 30533-1601

Mailing address

64 Mountain Dr
Dahlonega, GA 30533-1601
Phone (706) 864-6196

Other identifiers 2

IdentifierTypeStateIssuer
GRP2383OtherGAGROUP IDENTIFIER
030737OtherGALICENSE

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
I20101206000304 GA Practitioner - General Surgery 6608895776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Medical College of Georgia School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

64 Mountain Dr
Dahlonega, GA 30533-1601
Phone (706) 864-6196

Hospital & facility affiliations

  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Northeast Georgia Medical Center Lumpkin Hospital, Dahlonega, GA, CCN 110237

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy139
Upper gastrointestinal (GI) endoscopy for acid reflux41
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
030737GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick a Conarro MD CurrentSince Jun 26, 1995 Accepting new patients
Patrick a. Conarro, M.D. CurrentSince Jun 26, 1995 Accepting new patients

Locations

64 Mountain Dr
Dahlonega, GA 30533
Phone (404) 851-2300

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.

Hospital & facility affiliations 3

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269561600000",
    "number": "1295829968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 MOUNTAIN DR",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331601",
            "telephone_number": "706-864-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 MOUNTAIN DR",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331601",
            "telephone_number": "706-864-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONARRO",
        "first_name": "PATRICK",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "030737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP IDENTIFIER",
            "identifier": "GRP2383",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "030737",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dahlonega, GA

Sources for this page

Verify at the official NPI Registry.