DAVID G DILLARD (NPI# 1558327072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558327072 |
| Entity Type | Individual |
| Full Name | DAVID G DILLARD |
| Credential | MD |
| Practice Address |
1000 Hawthorne Ave Suite O Athens GA 30606-2168 |
| Mailing Address |
Po Box 1728 Watkinsville GA 30677-0034 |
| Practice Telephone | 7063530093 |
| Practice Fax Number | 7063530094 |
| Mailing Telephone | 7063530093 |
| Mailing Fax Number | 7063530094 |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2013-01-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
040364 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE RAILROAD ID NO | 040015437 | 01 |
| GA | BCBS PROVIDER NUMBER | 196754 | 01 |
| GA | 00681227K | 05 | |
| GA | STATE LICENSE NUMBER | 040364 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780723148 | David Conrad Dillard | Dentist | 4008 Mitchell Mill Road, Suite 108, Raleigh, NC 27616 | 2007-02-05 |
| 1770075962 | David Brockman Dillard | Physical Therapist | 6913 Camp Bowie Blvd Ste 141, Fort Worth, TX 76116-7165 | 2018-06-04 |
| Street Address |
1000 HAWTHORNE AVE SUITE O |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-2168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114906153 | Carol B Norton | Nurse Practitioner | 1000 Hawthorne Ave, Suite J, Athens, GA 30606-2168 | 2006-01-10 |
| 1962869891 | Caledonia Anesthesia LLC | Anesthesiology | 1000 Hawthorne Ave, Suite J, Athens, GA 30606-2168 | 2016-01-22 |
| 1033583836 | Advanced Gynecologic Surgery Center | Clinic/Center | 1000 Hawthorne Ave, Suite V, Athens, GA 30606-2168 | 2015-11-18 |
| 1427421726 | Hawthorne Anesthesia, LLC | Anesthesiology | 1000 Hawthorne Ave, Suite J, Athens, GA 30606-2168 | 2015-11-09 |
| 1396117792 | Sas Womens Healthcare LLC | Obstetrics & Gynecology | 1000 Hawthorne Ave, Suite J, Athens, GA 30606-2168 | 2015-10-24 |
| 1801277819 | Hawthorne Surgery Center LLC | Clinic/Center | 1000 Hawthorne Ave, Suite U, Athens, GA 30606-2168 | 2015-06-16 |
| 1588050900 | Sholes Center for Women's Health | Obstetrics & Gynecology | 1000 Hawthorne Ave, Suite K, Athens, GA 30606-2168 | 2015-04-13 |
| 1437578879 | Ashford Clinic, LLC | Otolaryngology | 1000 Hawthorne Ave, Suite T, Athens, GA 30606-2168 | 2014-04-14 |
| 1982990966 | Thomas Taylor Sholes | Obstetrics & Gynecology | 1000 Hawthorne Ave, Suite K, Athens, GA 30606-2168 | 2011-06-28 |
| 1992000483 | Lilana Eugenia Conner | Hearing Instrument Specialist | 1000 Hawthorne Ave, Suite O, Athens, GA 30606 | 2011-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 207YX0602X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngic Allergy |
| An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659438091 | Robert F. Gomez, Md, PC | Otolaryngology | 1270 Prince Ave, Athens, GA 30606-2762 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053463240 | Ent,sinus&allergy Specialists | Otolaryngology | 584 Lanier Park Dr, Gainesville, GA 30501-2000 | 2007-01-17 |
| 1912323700 | Donald W Alexander, Md PC | Otolaryngology | 833 Campbell Hill St Nw, Suite 420, Marietta, GA 30060-1134 | 2014-03-17 |
| 1982893442 | Hamilton S. Dixon, M.d. P.C. | Otolaryngology | 3268 Martha Berry Hwy Ne, Rome, GA 30165-7712 | 2007-10-22 |
| 1063564243 | Michael Harris Callahan | Otolaryngology | 584 Lanier Park Dr, Gainesville, GA 30501-2000 | 2007-01-17 |
| 1659423838 | Ronald Norman Whitmire | Otolaryngology | 584 Lanier Park Dr, Gainesville, GA 30501-2000 | 2007-01-17 |
Please comment or provide details below to improve the information on DAVID G DILLARD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.