Individual provider Active NPI

Dirk Briscoe Robertson, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Atlanta, GA
National Provider Identifier
1891804092
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
025658 Issued in GA
Practice address
3193 Howell Mill Rd NW
Paces Pavilion Suite 220
Atlanta, GA 30327-2119
Phone
(404) 350-5777
Fax
(404) 350-5755
NPI assigned
Aug 30, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 025658 GA
MOHS-Micrographic Surgery Physician 207ND0101X 025658 GA
Dermatopathology Physician 207ND0900X 025658 GA
Procedural Dermatology Physician 207NS0135X 025658 GA
Plastic Surgery Physician 208200000X 025658 GA
Surgery Physician 208600000X 025658 GA
Plastic and Reconstructive Surgery Physician 2086S0122X 025658 GA Primary

Addresses

Primary practice location

3193 Howell Mill Rd NW
Paces Pavilion Suite 220
Atlanta, GA 30327-2119

Mailing address

11 Riverly PL NW
Atlanta, GA 30327-2500
Phone (404) 351-2922

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
I20100505000915 GA Practitioner - Dermatology 1951487024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025658GAMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metroderm, P.C. Mohs-Micrographic Surgery CurrentSince Dec 1, 2020 Accepting new patients
Metroderm, P.C. CurrentSince Dec 1, 2020 Accepting new patients

Locations

3193 Howell Mill Rd NW
Ste 220
Atlanta, GA 30327
Phone (404) 350-5777

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

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1891804092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RIVERLY PL NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272500",
            "telephone_number": "404-351-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3193 HOWELL MILL RD NW",
            "address_2": "PACES PAVILION SUITE 220",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272119",
            "telephone_number": "404-350-5777",
            "fax_number": "404-350-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "DIRK",
        "middle_name": "BRISCOE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "025658",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "GA",
            "license": "025658",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "GA",
            "license": "025658",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "GA",
            "license": "025658",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "025658",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "025658",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "GA",
            "license": "025658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.