Individual provider Active NPI

David Blake Pharis, MD

  • MOHS-Micrographic Surgery Physician
  • Duluth, GA
National Provider Identifier
1649264482
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
045108 Issued in GA
Practice address
3855 Pleasant Hill Rd
Suite 200
Duluth, GA 30096-1407
Phone
(770) 622-6861
Fax
(770) 622-6862
NPI assigned
Sep 8, 2005
Reactivated
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 045108 GA Primary

Addresses

Primary practice location

3855 Pleasant Hill Rd
Suite 200
Duluth, GA 30096-1407

Mailing address

3855 Pleasant Hill Rd
Suite 200
Duluth, GA 30096-1407
Phone (770) 622-6861

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
I20100908000730 GA Practitioner - Dermatology 6709802499 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Baylor College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology and Skin Surgery Center. P.C.Group PAC ID 5193625945, 10 clinicians

Practice addresses (Care Compare)

210 Village Ctr Pkwy
Stockbridge, GA 30281-9044
Phone (770) 474-5952

3855 Pleasant Hill Rd
Suite 200
Duluth, GA 30096-8030
Phone (770) 622-6861

Merit-based Incentive Payment System (MIPS)

Final score
94.61 of 100Reported as group
Quality
89.22
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.7 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
69.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision56
Removal of skin lesions35
Removal of skin cancer870
Removal of nail tissue1-10
Removal or shaving of skin growth21
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
045108GAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology & Skin Surgery Center, P.C. CurrentSince Sep 1, 2013 Accepting new patients
David B Pharis MD PC Mohs-Micrographic Surgery CurrentSince Jan 1, 2011 Accepting new patients

Locations

3855 Pleasant Hill Rd
Ste 200
Duluth, GA 30096
Phone (770) 622-6861

210 Village Center Pkwy
Stockbridge, GA 30281
Phone (770) 474-5952

Interoperability endpoints

  • Direct secure messaging: david.pharis@pharis.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DEBCBA/Endpoint/DEBCBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DEBCBA

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.

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1649264482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 PLEASANT HILL RD",
            "address_2": "SUITE 200",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961407",
            "telephone_number": "770-622-6861",
            "fax_number": "770-681-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 PLEASANT HILL RD",
            "address_2": "SUITE 200",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961407",
            "telephone_number": "770-622-6861",
            "fax_number": "770-622-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHARIS",
        "first_name": "DAVID",
        "middle_name": "BLAKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2013-08-30",
        "deactivation_date": "2006-03-25",
        "reactivation_date": "2006-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "GA",
            "license": "045108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.