Darren Dillard, DO

Key facts

NPI

1497100697

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

82471 (GA)

Practice address

665 Duluth Hwy Ste 501
Lawrenceville, GA 30046-8709

Phone

(678) 312-0400

Fax

(678) 312-0423

NPI assigned

Apr 26, 2016

Sex

Male

Sole proprietor

No

Organizations & group practices 5

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.

• Gwinnett Hospital System Gme, LLC Family Medicine Physician · Lawrenceville, GA · NPI 1780076927
  Medicare reassignment Care Compare group NPD FAMILY MEDICINE · GA
• Northside Urgent Care Holding, LLC Urgent Care Clinic/Center · Atlanta, GA · NPI 1679962237
  Medicare reassignment Care Compare group NPD GA
• Peachtree Immediate Care FP, LLC Family Medicine Physician · Hiram, GA · NPI 1437194156
  Medicare reassignment NPD FAMILY MEDICINE · GA
• Select Rehabilitation, LLC Rehabilitation Clinic/Center · Glenview, IL · NPI 1346368248
  Care Compare group
• Northside Primary Care Professional Services,LLC Family Medicine Physician · Atlanta, GA · NPI 1922397553
  NPD (past) FAMILY MEDICINE

Hospital & facility affiliations 1

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

• Northside Hospital, Inc. General Acute Care Hospital · Duluth, GA · NPI 1790715381
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Family Practice

Education

Arizona College of Osteopathic Medicine Mid Western University, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northside Urgent Care Holding LLC (77 clinicians)
Select Rehabilitation, LLC (1,935 clinicians)
Gwinnett Hospital System Gme, LLC (23 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northside Hospital Duluth Hospital · Duluth, GA · CCN 110252

Medicare participation

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 3, 2021.

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1497100697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 DULUTH HWY STE 501",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468709",
            "telephone_number": "678-312-0400",
            "fax_number": "678-312-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 DULUTH HWY STE 501",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468709",
            "telephone_number": "678-312-0400",
            "fax_number": "678-312-0423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1086 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159054305",
            "country_code": "US",
            "telephone_number": "814-534-3745",
            "fax_number": "814-534-5677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLARD",
        "first_name": "DARREN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-26",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OT016938",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "82471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Lawrenceville, GA · Family Medicine Physician in Georgia