Active NPI 1891804092 Individual Practitioner Male Practitioner

Dr. Dirk Briscoe Robertson , MD

Surgery - Plastic and Reconstructive Surgery • Atlanta, GA

Professional Overview & Biography Verified Profile Summary

Dr. Dirk Robertson, MD is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in Atlanta, GA. Practice services are available at 3193 HOWELL MILL RD NW under active NPI credentials.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3193 Howell Mill Rd Nw
Paces Pavilion Suite 220

Atlanta, GA 303272119

Telephone 4043505777

Fax 4043505755

Associated Practice Facility / Clinic

🏢 Northwest Diagnostic Imaging, Inc Facility NPI 1427049253

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Atlanta, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 18.3 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

37 Specialists

Practicing in Atlanta, GA (87 Statewide)

Telehealth Adoption Rate

2.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	124	30	$21.00	$6.62
99213 Established patient office or other outpatient visit, typically 15 minutes	50	50	$275.00	$90.13
17000 Destruction of skin growth	42	41	$206.00	$48.27
11102 Tangential biopsy of single skin lesion	34	33	$315.00	$90.82
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	20	19	$2054.00	$679.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$388.00	$126.65
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	11	11	$1930.00	$637.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	757	147	$21.00	$6.77
99213 Established patient office or other outpatient visit, typically 15 minutes	468	307	$275.00	$90.67
17000 Destruction of skin growth	303	210	$206.00	$49.92
11102 Tangential biopsy of single skin lesion	258	193	$315.00	$97.64
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	202	163	$2054.00	$662.37
11103 Biopsy of related skin growth, each additional growth	118	72	$157.00	$51.22
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	107	86	$1252.00	$418.65
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	91	76	$1930.00	$638.41
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	62	59	$934.00	$168.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	45	$388.00	$128.58
17110 Destruction of up to 14 skin growths	45	44	$349.00	$114.36
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	44	42	$1454.00	$240.27
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	33	31	$1198.00	$192.02
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	31	29	$1199.00	$388.05
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	29	23	$548.00	$131.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	25	$171.00	$57.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$340.00	$113.00
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	22	22	$1304.00	$216.02
69100 Biopsy of ear	21	19	$298.00	$72.63
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	19	18	$1314.00	$205.43
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	17	15	$817.00	$134.36
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	16	$579.00	$150.04
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	14	11	$592.00	$133.29
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	12	11	$1531.00	$253.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,100	176	$21.00	$6.91
99213 Established patient office or other outpatient visit, typically 15 minutes	567	350	$275.00	$91.55
17000 Destruction of skin growth	368	241	$206.00	$55.27
11102 Tangential biopsy of single skin lesion	237	189	$315.00	$101.08
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	215	176	$2054.00	$643.97
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	138	107	$1252.00	$417.82
11103 Biopsy of related skin growth, each additional growth	95	62	$157.00	$52.44
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	78	70	$1930.00	$631.72
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	66	64	$1454.00	$245.99
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	61	55	$934.00	$163.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	48	$171.00	$57.16
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	38	31	$1199.00	$399.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	35	$388.00	$126.76
17004 Destruction of precancer skin growth, 15 or more growths	28	20	$517.00	$172.28
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	27	27	$1198.00	$199.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$340.00	$112.87
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	23	23	$1304.00	$217.30
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	20	20	$1314.00	$230.33
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	16	13	$548.00	$148.21
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	15	15	$592.00	$177.35
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	13	13	$2331.00	$777.27
69100 Biopsy of ear	13	12	$298.00	$76.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	789	156	$19.55	$6.58
99213 Established patient office or other outpatient visit, typically 15 minutes	489	337	$266.39	$92.06
17000 Destruction of skin growth	284	207	$200.81	$53.40
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	231	191	$2060.77	$655.12
11102 Tangential biopsy of single skin lesion	226	183	$315.15	$103.41
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	155	111	$1243.85	$421.07
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	102	87	$1933.45	$628.59
11103 Biopsy of related skin growth, each additional growth	92	62	$162.15	$54.28
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	79	75	$1471.08	$246.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	56	$154.77	$56.96
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	64	61	$1330.66	$220.63
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	44	36	$1190.25	$402.89
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	44	42	$941.95	$176.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$339.00	$110.96
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	27	26	$1209.00	$203.33
17004 Destruction of precancer skin growth, 15 or more growths	18	16	$501.67	$169.75
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	18	17	$1315.78	$221.12
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	13	12	$1240.92	$209.01
69100 Biopsy of ear	12	11	$302.92	$72.17
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	12	12	$1555.00	$260.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	720	138	$28.05	$6.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	458	341	$191.16	$109.85
17000 Destruction of skin growth	275	203	$182.11	$55.17
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	196	159	$1441.64	$608.97
11102 Tangential biopsy of single skin lesion	193	155	$238.29	$100.16
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	145	111	$859.17	$405.73
99213 Established patient office or other outpatient visit, typically 15 minutes	116	99	$158.12	$75.16
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	88	74	$1336.75	$616.31
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	70	65	$1305.17	$247.31
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	69	63	$1076.16	$219.67
11103 Biopsy of related skin growth, each additional growth	65	44	$74.29	$54.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	38	$96.13	$46.09
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	43	37	$780.09	$387.79
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	24	24	$1056.88	$254.35
17004 Destruction of precancer skin growth, 15 or more growths	23	19	$445.00	$161.16
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	19	18	$997.79	$194.59
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	13	13	$771.08	$214.19
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	13	13	$665.00	$165.69
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	11	11	$1040.00	$257.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	706	142	$30.00	$5.65
99213 Established patient office or other outpatient visit, typically 15 minutes	420	329	$150.24	$74.70
11102 Tangential biopsy of single skin lesion	352	249	$234.00	$97.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	286	247	$180.42	$108.84
17000 Destruction of skin growth	275	213	$180.00	$51.06
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	200	172	$1386.25	$641.91
11103 Biopsy of related skin growth, each additional growth	158	95	$70.00	$54.27
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	154	119	$840.78	$403.50
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	79	67	$1263.18	$596.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	70	$90.80	$45.67
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	74	69	$1317.57	$245.98
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	65	59	$1043.00	$215.17
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	36	33	$771.11	$369.15
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	32	32	$690.94	$205.88
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	23	23	$1020.00	$212.31
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	15	15	$1040.00	$278.23
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	14	14	$970.00	$204.96
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	14	13	$425.00	$175.81
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	13	12	$345.00	$138.73
17110 Destruction of up to 14 skin growths	12	12	$220.00	$107.75
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	11	11	$1820.00	$797.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	714	160	$30.00	$5.27
99213 Established patient office or other outpatient visit, typically 15 minutes	580	400	$124.55	$73.12
11100 Biopsy of single growth of skin and/or tissue	357	261	$187.57	$104.06
17000 Destruction of skin growth	293	222	$153.17	$52.08
11101 Biopsy of each additional growth of skin and/or tissue	196	106	$70.00	$32.87
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	195	153	$1390.26	$610.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	113	$180.51	$105.60
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	131	97	$841.15	$390.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	104	82	$109.38	$44.11
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	80	63	$1260.00	$582.00
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	62	60	$1006.94	$237.73
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	60	53	$776.15	$219.49
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	41	39	$691.46	$196.66
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	37	35	$793.78	$207.58
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	31	25	$770.00	$375.13
13120 Complicated repair of wound of scalp, arms, or legs, 1.1-2.5 cm	13	12	$653.85	$190.82
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	13	$350.77	$108.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	889	158	$30.00	$5.65
99213 Established patient office or other outpatient visit, typically 15 minutes	605	417	$119.88	$72.49
11100 Biopsy of single growth of skin and/or tissue	381	261	$180.59	$97.30
17000 Destruction of skin growth	336	235	$150.00	$52.74
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	224	152	$1384.46	$582.34
11101 Biopsy of each additional growth of skin and/or tissue	187	107	$70.00	$32.63
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	179	111	$843.18	$388.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	158	133	$180.51	$106.05
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	83	68	$1270.48	$550.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	61	$90.00	$43.12
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	67	60	$990.00	$239.25
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	64	57	$770.47	$227.88
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	41	34	$771.95	$368.71
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	38	37	$691.58	$184.43
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	32	30	$780.94	$212.20
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	20	19	$750.00	$212.35
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$150.00	$75.02
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	17	17	$1450.00	$782.69
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	15	14	$355.00	$160.09
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	11	11	$340.00	$144.28

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License GA 025658

A surgeon who specializes in plastic and reconstructive surgery.

Dermatology - Procedural Dermatology

NUCC Taxonomy Code: 207NS0135X

State License GA 025658

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Dermatology - Dermatopathology

NUCC Taxonomy Code: 207ND0900X

State License GA 025658

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License GA 025658

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Plastic Surgery

NUCC Taxonomy Code: 208200000X

State License GA 025658

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Surgery

NUCC Taxonomy Code: 208600000X

State License GA 025658

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Dermatology - MOHS-Micrographic Surgery

NUCC Taxonomy Code: 207ND0101X

State License GA 025658

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Long Ly , MD

Dermatology

NPI 1023638871

Doctor of Medicine (M.D.)

Dr. Valerie Truong , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1245572643

Doctor of Medicine (M.D.)

Dr. Nhu-Linh Tran , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1588773709

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 3193 HOWELL MILL RD NW, PACES PAVILION SUITE 220, ATLANTA, GA 303272119 (Tel: 4043505777)

📍

Updated Business Mailing Address July 08, 2007

Registered at 11 RIVERLY PL NW, ATLANTA, GA 303272500 (Tel: 4043512922)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as DIRK ROBERTSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dermatology (License #025658 in GA)

🟢

Initial NPI Registration & Enumeration August 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1891804092

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 30, 2006

Last Update: September 11, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

11 Riverly Pl Nw

Atlanta, GA 303272500

Phone: 4043512922

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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