Individual provider Active NPI

Albert H Diehl III III, M.D.

  • Surgery Physician
  • Atlanta, GA
National Provider Identifier
1629334487
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
77609 Issued in GA
Practice address
275 Collier Road NW
Suite 470
Atlanta, GA 30309
Phone
(404) 351-1002
Fax
(404) 350-8290
NPI assigned
Apr 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X 077609 GA
Surgery Physician 208600000X 77609 GA Primary

Addresses

Primary practice location

275 Collier Road NW
Suite 470
Atlanta, GA 30309

Mailing address

275 Collier Road NW
Suite 470
Atlanta, GA 30309
Phone (404) 351-1002

Other identifiers 1

IdentifierTypeStateIssuer
003193551GMedicaidGA

Other names 1

  • Alex Diehl Other name

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
I20170815003061 GA Practitioner - General SurgeryPractitioner - Surgical Oncology 9234401928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Emory University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlanta Breast Care, PCGroup PAC ID 2163401365, 3 clinicians

Practice addresses (Care Compare)

275 Collier Rd NW
Suite 470
Atlanta, GA 30309-1711
Phone (404) 351-1002

Hospital & facility affiliations

  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229
  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215
  • Piedmont Mountainside Hospital Inc Hospital, Jasper, GA, CCN 110225

Merit-based Incentive Payment System (MIPS)

Final score
88.69 of 100Reported as group
Quality
84.58
Promoting interoperability
100
Improvement activities
40
Cost
77.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy50
Melanoma (skin cancer) excision32
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77609GAMDSurgery Physician
077609GAMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Breast Care, PC Surgery CurrentSince Aug 21, 2018 Accepting new patients
Emory Medical Care Foundation Inc Surgery Current Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

275 Collier Rd NW
Ste 470
Atlanta, GA 30309
Phone (404) 324-6839

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

Interoperability endpoints

  • Direct secure messaging: albert.diehl.1@6853.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/6853/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 5

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": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1629334487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 COLLIER ROAD NW",
            "address_2": "SUITE 470",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30309",
            "telephone_number": "404-351-1002",
            "fax_number": "404-350-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 COLLIER ROAD NW",
            "address_2": "SUITE 470",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30309",
            "telephone_number": "404-351-1002",
            "fax_number": "404-350-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEHL III",
        "first_name": "ALBERT",
        "middle_name": "H",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-05",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "GA",
            "license": "077609",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "77609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003193551G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "DIEHL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.