Jonathan Barak Fass (NPI# 1104821917, PAC ID# 6901921857) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1104821917 |
| PAC ID by PECOS | 6901921857 |
| Professional Enrollment ID | I20101013000407 |
| Full Name | Jonathan Barak Fass |
| Organization Legal Name | DERMATOLOGY AFFILIATES LLC |
| Address |
2000 Prince Ave Athens GA 30606-6022 |
| Phone Number | 7063538220 |
| Gender | M |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 5799763975 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110074 | PIEDMONT ATHENS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2000 Prince Ave, Athens, GA 30606-6022 | 7063538220 | DERMATOLOGY AFFILIATES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 98% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 100% |
| Organization Legal Name | DERMATOLOGY AFFILIATES LLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Reed | Physician Assistant | Dermatology Affiliates LLC | 3131 Maple Dr Ne, Suite 102, Atlanta, GA 30305-2515 |
| Katherine Quinley | Physician Assistant | Dermatology Affiliates LLC | 4939 Lower Roswell Rd, Suite 104, Marietta, GA 30068-4382 |
| Wayne A Emineth | Physician Assistant | Dermatology Affiliates LLC | 401 S Main St, Suite A2, Alpharetta, GA 30009-1957 |
| Virginia R Forney | Dermatology | Dermatology Affiliates LLC | 401 S Main St, Suite A2, Alpharetta, GA 30009-1957 |
| David Michael Greeson | Dermatology | Dermatology Affiliates LLC | 2000 Prince Ave, Athens, GA 30606-6022 |
| Tiffany L Clay | Dermatology | Dermatology Affiliates LLC | 4939 Lower Roswell Rd, Suite 104, Marietta, GA 30068-4382 |
| Jennifer L Hundley | Dermatology | Dermatology Affiliates LLC | 3131 Maple Dr Ne, Suite 102, Atlanta, GA 30305-2515 |
| Hyunji Choi | Dermatology | Dermatology Affiliates LLC | 440 Charter Blvd, Suite 2201, Macon, GA 31210-0706 |
| Anita K Shetty | Dermatology | Dermatology Affiliates LLC | 4939 Lower Roswell Rd, Suite 104, Marietta, GA 30068-4382 |
| Emily Brown-didrick | Physician Assistant | Dermatology Affiliates LLC | 4939 Lower Roswell Rd, Suite 104, Marietta, GA 30068-4382 |
| Street Address |
2000 PRINCE AVE |
| City | ATHENS |
| State | GA |
| Zip | 30606-6022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Michael Greeson | Dermatology | Dermatology Affiliates LLC | 2000 Prince Ave, Athens, GA 30606-6022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexis Danielle Clayton | Physician Assistant | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| John F Grace | Psychologist, Clinical | 1 Huntingdon Rd, Suite 801, Athens, GA 30606 | |
| Jon L Forche | Optometry | Five Points Optometrists, PC | 698 S Milledge Ave, Athens, GA 30606 |
| Joel T Groft | Chiropractic | 623 N Milledge Ave, Suite A, Athens, GA 30606 | |
| Alexcis Thomson Ford | Obstetrics/gynecology | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| Marcie Nicks | Nurse Practitioner | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| Sarah A Huber | Obstetrics/gynecology | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| Robert B Raybon | Obstetrics/gynecology | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| Margaret S Brya | Optometry | Five Points Optometrists, PC | 698 S Milledge Ave, Athens, GA 30606 |
| Nadine Greer Forche' | Optometry | Five Points Optometrists, PC | 698 S Milledge Ave, Athens, GA 30606 |
| Find all physicians in zip 30606 | |||
| City | ATHENS |
| Zip Code | 30606 |
| Specialty | DERMATOLOGY |
| City + Specialty | ATHENS + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.