Robert Gwyn Dillon, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

21676 Issued in GA

Practice address

3341 Foxford CT
Doraville, GA 30340-4442

Phone

(770) 939-6671

Fax

(770) 939-6671

NPI assigned

Jan 2, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• First Medical Care Inc

  • Internal Medicine Physician
  • Decatur, GA
  • NPI 1962477190
  NPD (past)

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

{
    "created_epoch": "1325462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325462400000",
    "number": "1578833992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 FOXFORD CT",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303404442",
            "telephone_number": "770-939-6671",
            "fax_number": "770-939-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3341 FOXFORD CT",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303404442",
            "telephone_number": "770-939-6671",
            "fax_number": "770-939-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "ROBERT",
        "middle_name": "GWYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-02",
        "last_updated": "2012-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "GA",
            "license": "21676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Culver, M.ED., CCC-SLP
• Dekalb Family Practice and Geriatrics
• Larry Daniel Denson Jr.
• Nadya K Dhanani
• Matthew Michael Diduro, D.C.
• Doraville Medical Center Corp
• Dr J Heaven, PC
• Lester Drezek, O.D.
• Egb Legacy Group, LLC
• Element Acupuncture Inc.

• Adult Medicine Physician in Doraville, GA
• Providers in Doraville, GA by specialty
• Adult Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.