Individual provider Active NPI

John David Kayal, M.D.

  • MOHS-Micrographic Surgery Physician
  • Marietta, GA
National Provider Identifier
1366409880
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
042306 Issued in GA
Practice address
141 Lacy St NW Ste 200
Marietta, GA 30060-1118
Phone
(770) 426-7177
Fax
(770) 499-0227
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 042306 GA Primary

Addresses

Primary practice location

141 Lacy St NW Ste 200
Marietta, GA 30060-1118

Mailing address

141 Lacy St NW Ste 200
Marietta, GA 30060-1118
Phone (770) 426-7177

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
I20050708000109 GA Practitioner - Dermatology 6002852415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

141 Lacy St NW
Suite 200
Marietta, GA 30060-1118
Phone 7704267177107

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision78
Removal of tissue1-10
Removal of skin lesions737
Removal of skin cancer206
Removal or shaving of skin growth18
Skin biopsy359

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042306GAMDMOHS-Micrographic Surgery Physician

Interoperability endpoints

  • Direct secure messaging: johnkayal@ngdscs.allscriptsdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1366409880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 LACY ST NW STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601118",
            "telephone_number": "770-426-7177",
            "fax_number": "770-499-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 LACY ST NW STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601118",
            "telephone_number": "770-426-7177",
            "fax_number": "770-499-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYAL",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "GA",
            "license": "042306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.