Corrie Vanexel Alford, M.D.

Individual provider Active NPI Dermatology Physician · Hiram, GA

NPI 1891701496 · NPPES record last updated Sep 23, 2014

Key facts

NPI
1891701496
Entity type
Individual (NPI type 1)
Primary specialty
Dermatology Physician 207N00000X
License
57567 (GA)
Practice address
148 Bill Carruth Pkwy.
Suite 280
Hiram, GA 30141
Phone
(678) 363-3343
Fax
(678) 363-3380
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Dermatology
Education
Emory University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metroderm, P.C. (33 clinicians)

Practice addresses (Care Compare)

148 Bill Carruth Pkwy
Suite 280
Hiram, GA 30141-3756
Phone (404) 257-9933

4374 Atlanta Hwy
Suite 103
Hiram, GA 30141-1849
Phone (770) 726-1277

875 Johnson Ferry Rd
Atlanta, GA 30342-1418

875 Johnson Ferry Rd NE
Suite 001
Atlanta, GA 30342-1418
Phone (404) 257-9933

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100 (apm)
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision64
Removal of skin lesions700
Removal or shaving of skin growth1-10
Skin biopsy335

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20070125000428 GA Practitioner - Dermatology 1557362027 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
57567GAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metroderm, P.C. Current
since Jul 18, 2011
Accepting new patients
Metroderm, P.C. Current
since Jul 18, 2011
Accepting new patients

Locations

148 Bill Carruth Pkwy
Ste 280
Hiram, GA 30141
Phone (678) 363-3342

4374 Atlanta Hwy
Ste 103
Hiram, GA 30141
Phone (770) 726-1277

875 Johnson Fy Rd NE
Ste 180
Sandy Springs, GA 30342
Phone (404) 778-8075

875 Johnson Fy Rd NE
Ste 300
Sandy Springs, GA 30342
Phone (404) 257-9933

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 57567 GA Yes

Addresses

Primary practice location

148 Bill Carruth Pkwy.
Suite 280
Hiram, GA 30141

Mailing address

148 Bill Carruth Pkwy.
Suite 280
Hiram, GA 30141
Phone (678) 363-3343

Other names

  • Dr. Corrie Elizabeth Alford Former name

Other providers in Hiram, GA

All providers in Hiram, GA · Dermatology Physician in Georgia

Sources for this page

Verify at the official NPI Registry.