JOHN J DORAN M.D.
NPI 1003826942
Internal Medicine - Nephrology in Atlanta, GA

Active since August 09, 2006PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
1365 CLIFTON RD NE BLDG A, THE EMORY CLINIC - NEPHROLOGY, ATLANTA, GA 30322(404) 778-5380 Get Directions Write a Review

NPPES record last updated: November 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John J Doran M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN J DORAN M.D. (NPI 1003826942) is an individual nephrology provider in Atlanta, Georgia, licensed in Georgia (039089) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Georgetown University School Of Medicine (1993).

NPPES Registry Identity

NPI1003826942
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameJOHN J DORANCredential: M.D.
Location Address1365 CLIFTON RD NE BLDG A, THE EMORY CLINIC - NEPHROLOGYAtlanta, GA 30322-1013
Mailing Address1365 Clifton Rd Ne Bldg A, The Emory Clinic - NephrologyAtlanta, GA 30322-1013 · (404) 778-5380
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1993
Enumeration DateAugust 9, 2006
Last NPPES UpdateNovember 15, 2012
NPI 1003826942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in GA · 039089
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1365 CLIFTON RD NE BLDG A, Atlanta, GA 30322

Other Identifiers 1

Medicare UPING98370GA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John J Doran M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850379611
PECOS Enrollment IDI20040709000245
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
182 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
90 services42 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
64 services47 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
60 services31 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
51 services30 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
46 services32 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110082
Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County
Emergency services

Emory Johns Creek Hospital

Acute Care Hospitals · Johns Creek, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110230
Location6325 Hospital ParkwayJohns Creek, GA 30097 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist (Pharmacotherapy)
1365 CLIFTON RD NE BLDG A
ATLANTA, GA 30322
Nurse Practitioner (Acute Care)
1365 CLIFTON RD NE BLDG A
ATLANTA, GA 30322
Dietitian, Registered
1365 CLIFTON RD NE BLDG A
ATLANTA, GA 30322
Student in an Organized Health Care Education/Training Program
1365 CLIFTON RD NE BLDG A
ATLANTA, GA 30322
Internal Medicine (Hospice and Palliative Medicine)
1365 CLIFTON RD NE BLDG A
ATLANTA, GA 30322
Dietitian, Registered
1365 CLIFTON RD NE BLDG A
ATLANTA, GA 30322
Internal Medicine (Pulmonary Disease)
1365 CLIFTON RD NE BLDG A, THE EMORY CLINIC - PULMONARY
ATLANTA, GA 30322
Internal Medicine (Hospice and Palliative Medicine)
1365 CLIFTON RD NE BLDG A
ATLANTA, GA 30322

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Doran's NPI number?

The NPI number for John Doran is 1003826942. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is John Doran located?

John Doran practices at 1365 Clifton Rd NE Bldg A The Emory Clinic - Nephrology, Atlanta, GA 30322. The listed phone number is (404) 778-5380.

What is John Doran's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is John Doran enrolled in Medicare?

Yes. John Doran is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Doran accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list John Doran as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Doran affiliated with any hospitals?

According to CMS data, John Doran is affiliated with Emory University Hospital, Emory University Hospital Midtown, Grady Memorial Hospital, Saint Joseph's Hospital Of Atlanta, Inc and Emory Johns Creek Hospital.

When was this NPI record last updated?

The NPPES record for John Doran was last updated on November 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.