Individual provider Active NPI

David G Dillard, MD

  • Otolaryngic Allergy Physician
  • Athens, GA
National Provider Identifier
1558327072
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X
License
040364 Issued in GA
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

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
040015437OtherGAMEDICARE RAILROAD ID NO
040364OtherGASTATE LICENSE NUMBER
00681227KMedicaidGA
196754OtherGABCBS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031216000726 GA Practitioner - Otolaryngology 9830096056 Reassigns benefits to 1 organization

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
Atlanta Allergy and Otolaryngology Center, LLCGroup PAC ID 6608937172, 4 clinicians

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 Hospital, Lawrenceville, GA, CCN 110087
  • Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074
  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Piedmont Walton Hospital Hospital, Monroe, GA, CCN 110046
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score
92.02 of 100Reported as group
Quality
86.72
Improvement activities
40
Cost
91.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
040364GAMDOtolaryngic Allergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep and Sinus Centers of NC PLLC Current Accepting new patients
Sleep and Sinus Centers ASC, LLC CurrentSince Jul 11, 2017 Accepting new patients
Atlanta Allergy & Otolaryngology Center, LLC CurrentSince Jan 1, 2002 Accepting new patients
Atlanta Area Orthopedic & Imaging, LLC PastSince Apr 12, 2013 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

  • Direct secure messaging: david.dillard@sscg.eclinicaldirectplus.com
  • FHIR API: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.