Individual provider Active NPI

Booker H Dalton Jr., M.D.

  • Gastroenterology Physician
  • Atlanta, GA
National Provider Identifier
1477557130
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
035608 Issued in GA
Practice address
95 Collier Rd NW
Ste 4075
Atlanta, GA 30309-1751
Phone
(404) 603-3543
Fax
(404) 350-8795
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 035608 GA Primary

Addresses

Primary practice location

95 Collier Rd NW
Ste 4075
Atlanta, GA 30309-1751

Mailing address

95 Collier Rd NW
Ste 4075
Atlanta, GA 30309-1751
Phone (404) 603-3543

Other identifiers 1

IdentifierTypeStateIssuer
00502928CMedicaidGA

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
I20051212000851 GA Practitioner - Gastroenterology 3870514359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
JS Weill Medical College, Cornell University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Digestive Healthcare of GeorgiaGroup PAC ID 7012904394, 33 clinicians

Practice addresses (Care Compare)

3280 Howell Mill Rd NW
Suite T100
Atlanta, GA 30327-4122
Phone 40460335431516

Hospital & facility affiliations

  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
  • Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229
  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy192
Upper gastrointestinal (GI) endoscopy for acid reflux214

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Healthcare of Ga, P.C. Gastroenterology CurrentSince Apr 1, 1998 Accepting new patients
Progressive Anesthesia LLC PastSince Jan 1, 2013 Accepting new patients

Locations

3280 Howell Mill Rd NW
Ste T100
Atlanta, GA 30327
Phone (404) 355-3200

95 Collier Rd NW
Ste 4075
Atlanta, GA 30309
Phone (404) 355-2200

1265 Highway 54 W
Ste 402
Fayetteville, GA 30214
Phone (770) 719-3240

1505 Stone Bridge Pkwy
Ste 100
Woodstock, GA 30189
Phone (404) 425-5570

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 3

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1477557130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 COLLIER RD NW",
            "address_2": "STE 4075",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091751",
            "telephone_number": "404-603-3543",
            "fax_number": "404-350-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 COLLIER RD NW",
            "address_2": "STE 4075",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091751",
            "telephone_number": "404-603-3543",
            "fax_number": "404-350-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "BOOKER",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "035608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00502928C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.