Active NPI
David G Dillard, MD
- Otolaryngic Allergy Physician
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngic Allergy Physician
- License
- 040364
- Practice address
- 1000 Hawthorne Ave
Suite O
Athens, GA 30606-2168 - Phone
- (706) 353-0093
- Fax
- (706) 353-0094
- NPI assigned
- Apr 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngic Allergy Physician | 207YX0602X | 040364 | GA | Primary |
Addresses
Primary practice location
1000 Hawthorne Ave
Suite O
Athens, GA 30606-2168
Mailing address
PO Box 1728
Watkinsville, GA 30677-0034
Phone (706) 353-0093
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040015437 | Other | GA | MEDICARE RAILROAD ID NO |
| 040364 | Other | GA | STATE LICENSE NUMBER |
| 00681227K | Medicaid | GA | |
| 196754 | Other | GA | BCBS PROVIDER NUMBER |
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
- Otolaryngology
- Education
- University of South Alabama College of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Hawthorne Ave
Suite O
Athens, GA 30606-2168
Phone 6786891100925
1990 Riverside Pkwy
Lawrenceville, GA 30043-5925
Phone 6786891100925
475 Philip Blvd
Suite 201
Lawrenceville, GA 30046-8732
Phone (678) 689-1100
Hospital & facility affiliations
- Northside Hospital Gwinnett
- Piedmont Athens Regional Medical Center
- Northeast Georgia Medical Center, Inc
- Northside Hospital
- Piedmont Walton Hospital
- Wellstar Windy Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.02 of 100
- Quality
- 86.72
- Improvement activities
- 40
- Cost
- 91.1
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040364 | GA | MD | Otolaryngic Allergy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sleep and Sinus Centers of NC PLLC | Current | Accepting new patients | |
| Sleep and Sinus Centers ASC, LLC | Current | Accepting new patients | |
| Atlanta Allergy & Otolaryngology Center, LLC | Current | Accepting new patients | |
| Atlanta Area Orthopedic & Imaging, LLC | Past | Accepting new patients |
Locations
1000 Hawthorne Ave
Ste O
Athens, GA 30606
Phone (678) 552-4470
1990 Riverside Pkwy
Lawrenceville, GA 30043
Phone (678) 306-2212
475 Philip Blvd
Ste 201
Lawrenceville, GA 30046
Phone (404) 257-1589
Interoperability endpoints
- david.dillard@sscg.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/IIHJBA
Organizations & group practices 4
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.
-
- Otolaryngology Physician
- Lawrenceville, GA
- NPI 1285789032
-
- Ambulatory Surgical Clinic/Center
- Lawrenceville, GA
- NPI 1194261834
-
- Orthopaedic Surgery Physician
- Lawrenceville, GA
- NPI 1407197551
-
- Sleep Medicine (Otolaryngology) Physician
- Raleigh, NC
- NPI 1497138671
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
-
- General Acute Care Hospital
- Athens, GA
- NPI 1437186111
-
- General Acute Care Hospital
- Monroe, GA
- NPI 1720589328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358208000000",
"number": "1558327072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1728",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306770034",
"telephone_number": "706-353-0093",
"fax_number": "706-353-0094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 HAWTHORNE AVE",
"address_2": "SUITE O",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062168",
"telephone_number": "706-353-0093",
"fax_number": "706-353-0094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLARD",
"first_name": "DAVID",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-24",
"last_updated": "2013-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0602X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "GA",
"license": "040364",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD ID NO",
"identifier": "040015437",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "040364",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00681227K",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "196754",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.