DAVID G DILLARD, MD, LLC (NPI# 1760637243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760637243 |
| Entity Type | Organization |
| Organization Name | DAVID G DILLARD, MD, LLC |
| Practice Address |
771 Old Norcross Rd Suite 140 Lawrenceville GA 30045-4317 |
| Mailing Address |
Po Box 1728 Watkinsville GA 30677-0034 |
| Practice Telephone | 6786891100 |
| Practice Fax Number | 6786891104 |
| Mailing Telephone | 7063100252 |
| Mailing Fax Number | 7067692750 |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2008-11-25 |
| Authorized Official Name | DAVID G DILLARD (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 6786891100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 040364 | GU | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000681227M | 05 |
| Street Address |
771 OLD NORCROSS RD SUITE 140 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-4317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619282 | Jose Anibal Torres | Internal Medicine | 771 Old Norcross Rd, Suite 310, Lawrenceville, GA 30046-4386 | 2005-06-15 |
| 1639657620 | Julienne K Thomas | Nurse Practitioner | 771 Old Norcross Rd, Lawrenceville, GA 30046-4386 | 2018-08-01 |
| 1649659780 | Nicole Lynn Mccarthy | Physician Assistant | 771 Old Norcross Rd, Suites 155 and 390, Lawrenceville, GA 30046-4386 | 2015-05-21 |
| 1497163471 | Jessica Mcdonald | Physical Therapist | 771 Old Norcross Rd, Suite 390, Lawrenceville, GA 30046-4386 | 2014-07-23 |
| 1710306188 | Nicole Elizabeth Peters | Physician Assistant | 771 Old Norcross Rd, Suites 155 and 390, Lawrenceville, GA 30046-4386 | 2014-04-14 |
| 1609214147 | Raquel I. Gonzalez Roepke | Nurse Practitioner | 771 Old Norcross Rd, Suite 120, Lawrenceville, GA 30046-4386 | 2013-06-06 |
| 1902243603 | Village Podiatry Group, LLC | Podiatrist | 771 Old Norcross Rd, Ste. 355, Lawrenceville, GA 30046-4386 | 2013-06-04 |
| 1578827069 | Aaoc Anesthesia LLC | Nurse Anesthetist, Certified Registered | 771 Old Norcross Rd, Suite 135, Lawrenceville, GA 30046-4386 | 2012-06-28 |
| 1417231457 | Tabassum Safri | Internal Medicine | 771 Old Norcross Rd, Suite 120, Lawrenceville, GA 30046-4386 | 2011-10-10 |
| 1568778306 | Rodriguez Md, LLC | Family Medicine | 771 Old Norcross Rd, Terrace Park Medical Center; Suite 120, Lawrenceville, GA 30046-4386 | 2010-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285789032 | Atlanta Allergy & Otolaryngology Center, LLC | Otolaryngology | 1990 Riverside Pkwy, Lawrenceville, GA 30043-5925 | 2007-01-24 |
| 1750306734 | Chetan Shah | Otolaryngology | 3100 Princeton Pike Bldg 4, Lawrenceville, NJ 08648-2300 | 2006-07-12 |
| 1710984935 | Donald Gene Browning | Otolaryngology | 748 Old Norcross Rd, Suite 100, Lawrenceville, GA 30045-3393 | 2005-07-01 |
| 1871596213 | Ravi Gorav | Otolaryngology | 766 Walther Rd Ste 300, Lawrenceville, GA 30046-8765 | 2005-05-31 |
| 1902185945 | Princeton Eye & Ear LLC | Otolaryngology | 2999 Princeton Pike, Lawrenceville, NJ 08648-3261 | 2011-08-09 |
| 1871820852 | Matthew Carmichael | Otolaryngology | 766 Walther Rd Ste 300, Lawrenceville, GA 30046 | 2009-11-11 |
| 1356507115 | Ajaz L Chaudhry | Otolaryngology | 766 Walther Rd, Suite 300, Lawrenceville, GA 30046-8764 | 2008-07-31 |
| 1871601229 | Mukund C Raja | Otolaryngology | 475 Philip Blvd, Suite 201, Lawrenceville, GA 30046-8737 | 2006-08-27 |
| 1548205545 | James Aloysius Boozan | Otolaryngology | 3131 Princeton Pike, Building 5 Suite 100, Lawrenceville, NJ 08648-2201 | 2006-06-17 |
| 1003856311 | Howard Stephen Farmer, Md, P.C. | Otolaryngology | 3100 Princeton Pike, Bldg 4 Suite 2g, Lawrenceville, NJ 08648-2300 | 2006-06-07 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
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| 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.