Individual provider Active NPI

Keith D Wright, MD

  • MOHS-Micrographic Surgery Physician
  • Snellville, GA
National Provider Identifier
1649214537
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
043822 Issued in GA
Practice address
2383 Pate St
Snellville, GA 30078
Phone
(770) 972-4845
Fax
(770) 972-0358
NPI assigned
Jun 15, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 043822 GA
MOHS-Micrographic Surgery Physician 207ND0101X 043822 GA Primary

Addresses

Primary practice location

2383 Pate St
Snellville, GA 30078

Mailing address

2383 Pate St
Snellville, GA 30078
Phone (770) 972-4845

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
I20060202000640 GA Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 7416961065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2383 Pate St N
Snellville, GA 30078-3250
Phone 7709724845108

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision52
Removal of skin lesions68
Removal of skin cancer361
Skin biopsy33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
043822GAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gwinnett Dermatology PC D/B/a Georgia Dermatology Partners Dermatology CurrentSince Jul 1, 1998 Accepting new patients
Wesley S Wilborn MD PC Dermatology Past Accepting new patients

Locations

1515 River Pl
Ste 300
Braselton, GA 30517
Phone (770) 972-4845

3929 Peachtree Rd NE
Ste 300
Brookhaven, GA 30319
Phone (770) 972-4845

117 Lee Byrd Rd
Loganville, GA 30052
Phone (770) 972-4845

2383 Pate St N
Snellville, GA 30078
Phone (770) 972-4845

Interoperability endpoints

  • Direct secure messaging: kwright@gadermpartners.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1649214537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2383 PATE ST",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "30078",
            "telephone_number": "770-972-4845",
            "fax_number": "770-972-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2383 PATE ST",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "30078",
            "telephone_number": "770-972-4845",
            "fax_number": "770-972-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "KEITH",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "043822",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "GA",
            "license": "043822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

Verify at the official NPI Registry.