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
Sex
Male
Sole proprietor
Yes

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 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 Newton 2 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Piedmont Newton Hospital Hospital, Covington, GA, CCN 110018

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

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20120207000763 GA Practitioner - Dermatology 1355389552 Reassigns benefits to 1 organization

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/

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

Other identifiers 8

NPPES NPI Registry
IdentifierTypeStateIssuer
77159135OtherGAWAUSAU PROVIDER #
GA0100OtherGAJOHN DEER NONPAR PROV #
953055OtherGABC/BS PROVIDER #
00762308DMedicaidGA
1024502OtherGAAETNA HMO PROVIDER #
5261485OtherGAAETNA PPO PROVIDER #
0300335OtherGAEVERCARE PROVIDER #
4697OtherGAKAISER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 30, 2010.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WAUSAU PROVIDER #",
            "identifier": "77159135",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEER NONPAR PROV #",
            "identifier": "GA0100",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER #",
            "identifier": "953055",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00762308D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO PROVIDER #",
            "identifier": "1024502",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO PROVIDER #",
            "identifier": "5261485",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE PROVIDER #",
            "identifier": "0300335",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "4697",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

Verify at the official NPI Registry.