Individual provider Active NPI

Joseph T Overton Jr., MD

  • Dermatology Physician
  • Covington, GA
National Provider Identifier
1346359296
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
038900 Issued in GA
Practice address
4155 Baker St NE
Suite 100
Covington, GA 30014-1405
Phone
(770) 788-0620
Fax
(678) 342-3327
NPI assigned
Aug 30, 2006
Last updated
Aug 30, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 038900 GA Primary

Addresses

Primary practice location

4155 Baker St NE
Suite 100
Covington, GA 30014-1405

Mailing address

PO Box 945934
Atlanta, GA 30394-5934
Phone (770) 788-0620

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
I20120207000763 GA Practitioner - Dermatology 1355389552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Emory University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Derm Center of NewtonGroup PAC ID 7810935012, 2 clinicians

Practice addresses (Care Compare)

4155 Baker St NE
Suite 100
Covington, GA 30014-1405
Phone (770) 788-0620

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) excision618
Removal of skin lesions2851
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1540

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Derm Center of Newton Dermatology CurrentSince Apr 1, 2001 Accepting new patients
Dermatology Associates of Georgia, LLC PastSince Jan 1, 1999 Accepting new patients

Locations

4155 Baker St NE
#100
Covington, GA 30014
Phone (770) 788-0620

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, 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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1346359296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 945934",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303945934",
            "telephone_number": "770-788-0620",
            "fax_number": "678-342-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 BAKER ST NE",
            "address_2": "SUITE 100",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300141405",
            "telephone_number": "770-788-0620",
            "fax_number": "678-342-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERTON",
        "first_name": "JOSEPH",
        "middle_name": "T",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "038900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

Verify at the official NPI Registry.