Individual provider Active NPI

John David Dooley, M.D.

  • Surgery Physician
  • Atlanta, GA
National Provider Identifier
1659682060
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4194 Issued in GA
Practice address
303 Parkway Dr NE
Atlanta, GA 30312-1212
Phone
(404) 265-4411
Fax
(404) 265-4989
NPI assigned
Jun 30, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4194 GA Primary

Addresses

Primary practice location

303 Parkway Dr NE
Atlanta, GA 30312-1212

Mailing address

303 Parkway Dr NE
Atlanta, GA 30312-1212

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
I20170713002440 GA Practitioner - Vascular Surgery 0244469112 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Mercer University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosenthal, Clark and MatsurraGroup PAC ID 8729001938, 7 clinicians
Newnan Vascular Center, LLCGroup PAC ID 7113043167, 5 clinicians

Practice addresses (Care Compare)

1233 Hwy 54 W
Suite 210
Fayetteville, GA 30214-4542
Phone (404) 524-0095

2201 Newnan Crossing Blvd
Suite 200
Newnan, GA 30265-2551
Phone (404) 524-0095

2690 Hwy 34 E
Suite a
Newnan, GA 30265-1330
Phone (678) 423-4100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.18 of 100Reported as group
Quality
74.66
Promoting interoperability
99
Improvement activities
40
Cost
83.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)61
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4194GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rosenthal, Clark and Matsurra CurrentSince Jun 1, 2017 Accepting new patients
Newnan Vascular Center, LLC CurrentSince Jul 9, 2017 Accepting new patients
City of Hope Medical Group of Georgia LLC Surgery CurrentSince Aug 16, 2017 Accepting new patients

Locations

3001 Palm Harbor Blvd
Ste A
Palm Harbor, FL 34683

1233 Highway 54 W
Ste 210
Fayetteville, GA 30214
Phone (404) 350-0106

1521 W McIntosh Rd
Griffin, GA 30223
Phone (404) 524-0095

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

2201 Newnan Crossing Blvd E
Ste 200
Newnan, GA 30265
Phone (404) 524-0095

2690 Highway 34 E
Ste A
Newnan, GA 30265
Phone (678) 423-4100

775 Poplar Rd
Ste 260
Newnan, GA 30265
Phone (404) 524-0095

2690 Highway 34 E
Ste B
Newnan, GA 30265
Phone (404) 524-0095

62742 Collections Ctr Dr
Chicago, IL 60693

Interoperability endpoints

  • Direct secure messaging: john.dooley.p53@direct.tenet.nextgenshare.com
  • Direct secure messaging: jdooley145285@cityofhope.direct-ci.com

Organizations & group practices 3

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 3

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": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1659682060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 PARKWAY DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 PARKWAY DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121212",
            "telephone_number": "404-265-4411",
            "fax_number": "404-265-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "4194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.