Stephen M Squires, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

74375 Issued in GA

Practice address

111 Davis Rd
Martinez, GA 30907-2383

Phone

(706) 432-9285

Fax

(706) 432-9674

NPI assigned

Jun 8, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, SC2 enrollments

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 2

Specialty

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

University of Utah School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prosynergy Dermatology LLCGroup PAC ID 3971966938, 4 clinicians

Skin Fix SC LLCGroup PAC ID 2163819137, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028

Merit-based Incentive Payment System (MIPS)

Final score

77.87 of 100Reported as group

Quality

79.39

Promoting interoperability

51

Improvement activities

40

Cost

87.67

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8321/brand/1/csg/1/fhir/r4
• Direct secure messaging: stephen.squires@forefrontdermatology.emadirect.md

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.

• Prosynergy Dermatology LLC

  • Dermatology Physician
  • Martinez, GA
  • NPI 1205518875

  Dermatology, GA, SC

  Medicare reassignment Care Compare group NPD Authorized official
• Skin Fix SC LLC

  • Dermatology Physician
  • Aiken, SC
  • NPI 1801540414

  Dermatology, SC

  Medicare reassignment Care Compare group NPD
• Aiken Dermatology & Skin Cancer Clinic

  • Dermatology Physician
  • Aiken, SC
  • NPI 1841277399

  Dermatology

  NPD
• Benedetto Dermatology, LLC

  • MOHS-Micrographic Surgery Physician
  • Philadelphia, PA
  • NPI 1972771129

  Mohs-Micrographic Surgery

  NPD
• Benedetto Dermatology,LLC

  • Ambulatory Surgical Clinic/Center
  • Philadelphia, PA
  • NPI 1811938863
  NPD
• Carolina Musculoskeletal Institute PA

  • Interventional Pain Medicine Physician
  • Aiken, SC
  • NPI 1518943364
  NPD (past)
• Rural Health Resources of Jackson Co Inc

  • Rural Health Clinic/Center
  • Holton, KS
  • NPI 1639145204
  NPD (past)

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

• University Health Services,Inc

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1588665566

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1346476199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DAVIS RD",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309072383",
            "telephone_number": "706-432-9285",
            "fax_number": "706-432-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DAVIS RD",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309072383",
            "telephone_number": "706-432-9285",
            "fax_number": "706-432-9674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUIRES",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-08",
        "last_updated": "2023-08-03",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "GA",
            "license": "74375",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "74375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Eye Consultants, LLC
• Southerncare, Inc.
• Spark Wellness LLC
• Speech Masters, LLC
• John W. Spratling, D.M.D.
• Susan Acker Stallings-Sahler, PH.D.
• Stamen Medical Systems, LLC
• Brad Daniel Steinle, D.C.
• Christopher Stephen
• Melissa Megan Stewart

• All providers in Martinez, GA
• Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.