NPIMap

Individual provider Active NPI

Fiona Zwald, MD

  • Dermatology Physician
  • Gainesville, GA
National Provider Identifier
1487768883
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
DR.0064920 Issued in CO
Practice address
974 S Enota Dr NE
Gainesville, GA 30501-2429
Phone
(770) 536-7546
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0050418 GA
MOHS-Micrographic Surgery Physician 207ND0101X 50418 GA
Dermatology Physician 207N00000X DR.0064920 CO Primary

Addresses

Primary practice location

974 S Enota Dr NE
Gainesville, GA 30501-2429

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice location 1

2045 Peachtree Nerd 200
Atlanta, GA 30309-1497
Phone (404) 351-7546 ext. 323

Other practice location 2

1665 Aurora Ct
Aurora, CO 80045-2517
Phone (720) 848-0000

Other names 1

  • Dr. Fiona Mary O'Reilly Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061003000322 GA Practitioner - Dermatology 4082619606 Reassigns benefits to 2 organizations
I20201016002278 CO Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 4082619606 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians
Samantha Ghiselli MD PLLCGroup PAC ID 8820485261, 4 clinicians

Practice addresses (Care Compare)

1665 Aurora CT
Aurora, CO 80045-2517
Phone (720) 848-0000

501 S Cherry St
Suite 310
Glendale, CO 80246-1322
Phone (303) 333-7873

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision39
Removal of skin lesions87
Removal of skin cancer296
Removal of nail tissue1-10
Skin biopsy43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0050418GAMDDermatology Physician
50418GAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Advanced Dermatology LLC Dermatology CurrentSince Oct 15, 2020 Accepting new patients
University Physicians Incorporated Dermatology Current Accepting new patients
Metroderm, P.C. CurrentSince Nov 1, 2022 Accepting new patients
Samantha Ghiselli MD PLLC Dermatology CurrentSince Mar 10, 2026 Accepting new patients
Dermatology Consultants, P.C. Dermatology CurrentSince Jul 10, 2015 Accepting new patients
Metroderm, P.C. Mohs-Micrographic Surgery CurrentSince Nov 1, 2022 Accepting new patients
University Physicians Incorporated CurrentSince Aug 15, 2023 Accepting new patients
University Physicians, Incorporated CurrentSince Aug 15, 2023 Accepting new patients
University Physicians, Incorporated Past Accepting new patients

Locations

1665 Aurora Ct
Aurora, CO 80045
Phone (303) 724-2066

1665 Aurora Ct
Rm 8127
Aurora, CO 80045

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

1665 Aurora Ct
Rm 3004
Aurora, CO 80045
Phone (720) 848-0500

5495 Arapahoe Ave
Boulder, CO 80303
Phone (303) 415-4515

Dept 1061
Denver, CO 80256

501 S Cherry St
Ste 310
Glendale, CO 80246
Phone (303) 333-7873

3455 S Yarrow St
Lakewood, CO 80227
Phone (303) 848-3047

3280 Howell Mill Rd NW
Ste 211
Atlanta, GA 30327
Phone (404) 351-7546

2045 Peachtree Rd NE
Ste 200
Atlanta, GA 30309
Phone (404) 351-7546

4151 Hospital Dr NE
Covington, GA 30014
Phone (404) 351-7546

225 Adams Dr
Demorest, GA 30535
Phone (770) 532-8438

974 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 536-7546

875 Johnson Fy Rd NE
Ste 300
Sandy Springs, GA 30342
Phone (404) 257-9933

Organizations & group practices 9

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 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1487768883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 S ENOTA DR NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012429",
            "telephone_number": "770-536-7546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2045 PEACHTREE NERD 200",
            "address_purpose": "LOCATION",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091497",
            "country_code": "US",
            "telephone_number": "404-351-7546 x323",
            "fax_number": "404-352-4706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1665 Aurora Ct",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452517",
            "country_code": "US",
            "telephone_number": "720-848-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZWALD",
        "first_name": "FIONA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "0050418",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "GA",
            "license": "50418",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "DR.0064920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FIONA",
            "last_name": "O'REILLY",
            "middle_name": "MARY",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.