Individual provider Active NPI

David Jonathan Levine, M.D.

  • Dermatology Physician
  • Roswell, GA
National Provider Identifier
1881693877
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
027080 Issued in GA
Practice address
1265 Upper Hembree Rd
Suite 100
Roswell, GA 30076-1143
Phone
(770) 751-1133
Fax
(770) 751-7410
NPI assigned
Jul 20, 2005
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 027080 GA Primary

Addresses

Primary practice location

1265 Upper Hembree Rd
Suite 100
Roswell, GA 30076-1143

Mailing address

1265 Upper Hembree Rd
Suite 100
Roswell, GA 30076-1143
Phone (770) 751-1133

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dlevine@directaddress.net Health Information Exchange (HIE)

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
I20100513000471 GA Practitioner - Dermatology 5890741136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Icahn School of Medicine at Mount Sinai, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Center for Dermatologic Diseases PCGroup PAC ID 3072569318, 8 clinicians

Practice addresses (Care Compare)

11685 Alpharetta Hwy
Suite 300
Roswell, GA 30076-4910
Phone (770) 751-1133

5673 Peachtree Dunwoody Rd
Suite 850
Atlanta, GA 30342-5023
Phone (404) 252-4333

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1957
Removal or shaving of skin growth116
Skin biopsy725

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Center for Dermatologic Diseases PC Dermatology CurrentSince Jun 1, 2015 Accepting new patients
Northside Plastic Surgery Past Accepting new patients

Locations

3400 Old Milton Pkwy
Ste 340
Alpharetta, GA 30005
Phone (404) 851-6284

327 Dahlonega St
Ste 1501
Cumming, GA 30040
Phone (770) 844-1902

11685 Alpharetta Hwy
Ste 300
Roswell, GA 30076
Phone (678) 325-6611

1265 Upper Hembree Rd
Ste 100
Roswell, GA 30076
Phone (770) 751-1133

5673 Peachtree Dunwoody Rd
Ste 850
Sandy Springs, GA 30342
Phone (404) 252-4333

Interoperability endpoints

  • Direct secure messaging: dlevine@directaddress.net

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1881693877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 UPPER HEMBREE RD",
            "address_2": "SUITE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761143",
            "telephone_number": "770-751-1133",
            "fax_number": "770-751-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 UPPER HEMBREE RD",
            "address_2": "SUITE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761143",
            "telephone_number": "770-751-1133",
            "fax_number": "770-751-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "DAVID",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2026-09-29",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "027080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dlevine@directaddress.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5673 Peachtree Dunwoody Rd Ste 850",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303425023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.