Individual provider Active NPI

William L Dobes Jr., M.D.

  • Specialist
  • Atlanta, GA
National Provider Identifier
1619953460
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
13029 Issued in GA
Practice address
2045 Peachtree Rd NE Ste 200
Atlanta, GA 30309
Phone
(404) 351-7546
Fax
(678) 540-0100
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 13029 GA Primary

Addresses

Primary practice location

2045 Peachtree Rd NE Ste 200
Atlanta, GA 30309

Mailing address

2045 Peachtree Rd NE Ste 200
Atlanta, GA 30309-1497
Phone (404) 351-7546

Other identifiers 5

IdentifierTypeStateIssuer
000332483BMedicaidGA
0307074OtherGAUNITED HEALTHCARE
481094OtherGAAETNA
040858OtherGAONE HEALTH
070006836OtherGARAILROAD MEDICARE

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
I20100511000533 GA Practitioner - Dermatology 9133210404 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13029GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Consultants, P.C. CurrentSince Sep 1, 1994 Accepting new patients

Locations

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

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

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1619953460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 PEACHTREE RD NE STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091497",
            "telephone_number": "404-351-7546",
            "fax_number": "678-540-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 PEACHTREE RD NE STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30309",
            "telephone_number": "404-351-7546",
            "fax_number": "678-540-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBES",
        "first_name": "WILLIAM",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "13029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000332483B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0307074",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "481094",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE HEALTH",
            "identifier": "040858",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070006836",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.