Deactivated NPI 1649264482 Deactivated / Inactive NPI Male Practitioner

Dr. David Blake Pharis , MD

Dermatology - MOHS-Micrographic Surgery • Duluth, GA

✓ Accepts Medicare Assignment

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Pharis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 08, 2005

NPI Deactivation Date March 25, 2006

Total Practice Duration ~10 Years of Practice (1996 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. David Pharis, MD was a registered Dermatology - MOHS-Micrographic Surgery in Duluth, GA. Prior to record deactivation on 2006-03-25, Dr. Pharis completed approximately 10 years of clinical practice following graduation from Baylor College Of Medicine in 1996.

Dr. Pharis was affiliated with Dermatology And Skin Surgery Center. P.C. and accepted Medicare assignment.

Historical Medicare Part B clinical services included removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks, established patient outpatient office visit, complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3855 Pleasant Hill Rd
Suite 200

Duluth, GA 300961407

Telephone 7706226861

Fax 7706226862

Associated Practice Facility / Clinic

🏢 Y J Lee Gastroenterology, Pc Facility NPI 1639268436

Medicare Profile & Education

Medical School

Baylor College Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology - MOHS-Micrographic Surgery in Duluth, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +12.0 yrs vs City Avg

City Avg: 18.0 Yrs

State Avg: 22.6 Yrs

Regional Practice Density

2 Specialists

Practicing in Duluth, GA (45 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pharis (30 Years) 30 Yrs

Duluth Specialty Average (18.0 Years) 18.0 Yrs

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
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	714	567	$1097.96	$614.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	420	330	$73.52	$55.61
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	323	287	$685.85	$236.28
99213 Established patient office or other outpatient visit, typically 15 minutes	304	238	$111.35	$88.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	269	269	$160.00	$108.18
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	235	149	$642.38	$405.17
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	136	106	$1209.71	$589.76
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	112	112	$793.66	$252.52
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	64	63	$1308.56	$967.29
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	63	59	$398.86	$196.91
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	27	27	$622.96	$210.02
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	20	20	$636.30	$218.04
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	20	18	$664.00	$385.82
17000 Destruction of skin growth	17	11	$102.00	$60.14
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	16	16	$525.00	$140.29
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	14	13	$573.86	$244.17
13133 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less	12	11	$360.00	$165.65
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	11	11	$508.64	$262.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	658	534	$1114.19	$623.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	449	349	$73.26	$56.32
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	319	278	$687.27	$258.10
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	295	197	$656.75	$411.44
99213 Established patient office or other outpatient visit, typically 15 minutes	271	220	$102.69	$88.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	258	258	$160.00	$111.21
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	136	108	$1212.35	$573.08
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	80	80	$798.00	$247.38
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	61	60	$1275.84	$988.90
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	46	44	$399.22	$228.09
17003 Destruction of precancer skin growth, 2-14 growths	35	11	$14.29	$6.67
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	32	32	$653.75	$253.69
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	27	17	$657.78	$365.54
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	24	23	$280.71	$148.01
17000 Destruction of skin growth	24	16	$100.50	$57.66
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	20	20	$516.00	$312.67
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	20	20	$616.95	$256.77
13133 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less	14	13	$340.71	$168.64
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	13	$271.71	$132.28
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	12	12	$523.50	$266.77
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	11	11	$566.73	$259.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	728	585	$1107.50	$623.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	434	356	$73.47	$57.08
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	352	317	$686.41	$263.16
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	318	205	$644.15	$417.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	271	271	$160.00	$112.96
99213 Established patient office or other outpatient visit, typically 15 minutes	259	212	$103.68	$91.50
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	107	86	$1215.14	$600.01
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	87	87	$801.72	$258.58
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	62	62	$1294.65	$982.32
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	33	31	$646.06	$259.07
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	30	30	$610.50	$226.42
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	24	17	$679.17	$401.66
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	24	23	$528.92	$341.58
17000 Destruction of skin growth	17	11	$101.29	$62.58
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	16	16	$278.00	$156.66
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	14	14	$508.93	$246.07
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	14	14	$395.71	$167.25
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	13	13	$1487.08	$1009.95
13133 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less	13	12	$318.46	$171.58
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$220.00	$103.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	679	579	$1111.81	$634.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	463	342	$72.87	$57.03
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	302	283	$686.52	$260.41
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	275	195	$649.31	$420.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	265	265	$159.88	$113.77
99213 Established patient office or other outpatient visit, typically 15 minutes	244	213	$100.98	$91.90
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	104	83	$1217.88	$588.12
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	101	99	$788.91	$265.57
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	66	64	$1293.27	$1020.08
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	35	34	$656.00	$281.19
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	25	24	$638.88	$238.94
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	21	17	$660.00	$403.18
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	19	18	$1469.05	$961.18
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	16	16	$494.06	$241.43
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	15	15	$530.00	$306.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$144.07	$131.49
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	14	$278.00	$163.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$190.00	$170.41
88331 Pathology examination of specimen during surgery, first tissue block	12	11	$123.75	$105.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	672	553	$1114.14	$595.69
99213 Established patient office or other outpatient visit, typically 15 minutes	384	345	$86.63	$74.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	380	288	$67.52	$45.20
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	307	280	$686.46	$252.74
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	278	185	$652.66	$396.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	277	277	$137.90	$108.24
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	122	122	$787.38	$259.71
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	101	87	$1223.17	$589.99
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	76	75	$1278.16	$991.03
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	45	45	$614.22	$284.21
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	23	23	$525.48	$257.26
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	22	18	$669.09	$382.80
15240 Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less)	17	17	$1133.65	$941.26
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	16	15	$1452.75	$962.16
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	15	15	$606.20	$240.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	621	531	$1119.74	$602.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	411	305	$62.84	$45.06
99213 Established patient office or other outpatient visit, typically 15 minutes	402	363	$86.63	$74.14
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	324	294	$687.46	$257.28
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	277	188	$643.32	$397.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	246	246	$130.11	$107.51
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	99	80	$1217.58	$581.48
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	85	81	$510.82	$271.96
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	83	81	$810.36	$255.29
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	83	83	$1291.73	$1006.85
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	30	27	$543.33	$290.42
13133 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less	21	20	$475.71	$180.30
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	20	20	$1458.00	$1024.97
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	20	16	$678.00	$382.09
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	14	$271.36	$123.23
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	12	12	$621.25	$305.76
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$283.91	$137.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	664	548	$1115.90	$579.33
99213 Established patient office or other outpatient visit, typically 15 minutes	390	352	$86.82	$72.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	371	275	$63.07	$44.05
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	308	209	$640.52	$391.99
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	294	269	$687.29	$245.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	248	248	$130.23	$107.72
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	97	91	$1277.63	$1011.21
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	93	78	$1188.39	$598.05
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	91	91	$799.78	$267.45
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	70	65	$505.57	$274.48
17003 Destruction of precancer skin growth, 2-14 growths	61	12	$18.26	$5.34
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	29	29	$1471.03	$1028.17
11100 Biopsy of single growth of skin and/or tissue	28	26	$129.43	$93.21
17000 Destruction of skin growth	27	17	$98.44	$58.18
88331 Pathology examination of specimen during surgery, first tissue block	24	24	$122.50	$98.08
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	22	19	$604.55	$375.13
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	21	20	$483.43	$276.24
13133 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less	18	17	$391.67	$180.67
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	17	$281.61	$146.70
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	15	13	$456.67	$247.17
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	15	15	$649.20	$241.78
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	12	12	$235.50	$134.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	724	583	$1106.30	$567.72
99213 Established patient office or other outpatient visit, typically 15 minutes	482	426	$86.75	$72.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	431	313	$63.01	$43.47
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	359	240	$637.77	$388.24
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	321	289	$686.03	$252.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	278	278	$130.00	$108.02
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	111	107	$1281.14	$998.95
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	95	86	$945.26	$601.59
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	88	87	$788.18	$263.32
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	76	74	$490.39	$248.35
17003 Destruction of precancer skin growth, 2-14 growths	71	12	$16.39	$5.67
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	43	43	$1460.93	$1011.47
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	38	36	$449.47	$263.54
11100 Biopsy of single growth of skin and/or tissue	30	28	$129.20	$89.86
13133 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less	28	26	$381.43	$180.03
17000 Destruction of skin growth	24	16	$101.00	$58.57
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	24	19	$545.83	$374.55
88331 Pathology examination of specimen during surgery, first tissue block	21	21	$122.62	$96.78
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	14	$282.64	$133.56
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	11	11	$427.09	$321.85

Medical Specialties & State Licenses

Dermatology - MOHS-Micrographic Surgery Primary Specialty

NUCC Taxonomy Code: 207ND0101X

State License GA 045108

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.

Hospital & Practice Group Affiliations

Dermatology And Skin Surgery Center. P.c.

210 Village Ctr Pkwy, Stockbridge, GA 302819044

Phone: 7704745952

Practice Associates & Co-Workers

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

17 Associated Practitioners

Dr. Michael Pickford , MD

Otolaryngology

NPI 1013915586

Doctor of Medicine (M.D.)

Donna Crawford , PA

Physician Assistant - Medical

NPI 1023276334

Physician Assistant

Dr. Oluseun Olufade , MD

Physical Medicine & Rehabilitation

NPI 1053502716

Doctor of Medicine (M.D.)

Karishma Patel , PA-C

Physician Assistant

NPI 1134722143

Physician Assistant (Certified)

Damar Lewis , AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1295545069

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Dr. Mark Majoch , MD

Family Medicine

NPI 1306811823

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location August 30, 2013

Registered at 3855 PLEASANT HILL RD, SUITE 200, DULUTH, GA 300961407 (Tel: 7706226861)

📍

Updated Business Mailing Address August 30, 2013

Registered at 3855 PLEASANT HILL RD, SUITE 200, DULUTH, GA 300961407 (Tel: 7706226861)

👤

Provider Name / Credentials Updated August 30, 2013

Recorded as DAVID PHARIS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2013

Dermatology (License #045108 in GA)

🔄

NPI Profile Reactivated April 03, 2006

Record officially reactivated for active practice on April 03, 2006

⚠️

NPI Profile Deactivated March 25, 2006

Record deactivated on March 25, 2006

🟢

Initial NPI Registration & Enumeration September 08, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1649264482

Entity Type:

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

Enumeration Date: September 08, 2005

Last Update: August 30, 2013

Deactivation Date: March 25, 2006

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3855 Pleasant Hill Rd, Suite 200

Duluth, GA 300961407

Phone: 7706226861

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