Active NPI
Hector M. Dourron, M.D.
- Vascular Surgery Physician
- Dalton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 052556
- Practice address
- 1109 Burleyson Rd Ste 202
Dalton, GA 30720-3094 - Phone
- (706) 259-3336
- Fax
- (706) 370-7715
- NPI assigned
- Aug 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 052556 | GA | Primary |
| Specialist | 174400000X | 54489 | GA |
Addresses
Primary practice location
1109 Burleyson Rd Ste 202
Dalton, GA 30720-3094
Mailing address
1109 Burleyson Rd Ste 202
Dalton, GA 30720-3094
Phone (706) 259-3336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080040114A | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Memorial Dr
Dalton, GA 30720-2529
Phone (706) 272-6000
Hospital & facility affiliations
- Hamilton Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 29 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54489 | GA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennestone Hospital, Inc | Current | Accepting new patients | |
| Kennestone Hospital, Inc. | Current | Accepting new patients | |
| Hamilton Medical Center, Inc. | Current | Accepting new patients | |
| Hamilton Physician Group Inc | Current | Accepting new patients | |
| Northside Surgical Professional Services LLC | Current | Accepting new patients | |
| Cobb Hospital, Inc | Past | Accepting new patients | |
| Quantum Radiology, PC | Past | Accepting new patients |
Locations
460 Northside Cherokee Blvd
Ste 100
Canton, GA 30115
Phone (770) 292-3490
1109 Burleyson Rd
Ste 202
Dalton, GA 30720
Phone (706) 259-3336
1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115
677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
980 Johnson Fy Rd NE
Ste 1040
Sandy Springs, GA 30342
Phone (404) 843-2721
Interoperability endpoints
- hdourron18827@hhcs.direct-ci.com
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Dalton, GA
- NPI 1528056066
-
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
- Surgery Physician
- Atlanta, GA
- NPI 1356630990
-
- Cardiovascular Disease Physician
- Dalton, GA
- NPI 1235455569
-
- Psychiatric Hospital Unit
- Atlanta, GA
- NPI 1689361438
-
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
- Diagnostic Radiology Physician
- Marietta, GA
- NPI 1366495988
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dalton, GA
- NPI 1528056066
-
- Psychiatric Hospital Unit
- Dalton, GA
- NPI 1760645782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1366435182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 BURLEYSON RD STE 202",
"city": "DALTON",
"state": "GA",
"postal_code": "307203094",
"telephone_number": "706-259-3336",
"fax_number": "706-370-7715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 BURLEYSON RD STE 202",
"city": "DALTON",
"state": "GA",
"postal_code": "307203094",
"telephone_number": "706-259-3336",
"fax_number": "706-370-7715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOURRON",
"first_name": "HECTOR",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "GA",
"license": "052556",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "54489",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "080040114A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.