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DR. DARREN DILLARD DO
NPI 1497100697
Family Medicine in Lawrenceville, GA

Active since April 26, 2016PECOS EnrolledAccepts Medicare Assignment
665 DULUTH HWY STE 501, LAWRENCEVILLE, GA 30046(678) 312-0400(678) 312-0423 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Darren Dillard Do NPPES

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

DR. DARREN DILLARD DO (NPI 1497100697) is an individual family medicine provider in Lawrenceville, Georgia, licensed in Georgia (82471) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Duluth, and maintains a secondary practice location in Johnstown.

NPPES Registry Identity

NPI1497100697
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DARREN DILLARDCredential: DO
Location Address665 DULUTH HWY STE 501Lawrenceville, GA 30046-8709
Mailing Address665 Duluth Hwy Ste 501Lawrenceville, GA 30046-8709 · (678) 312-0400 · Fax (678) 312-0423
Phone(678) 312-0400
Fax(678) 312-0423
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2016
Enumeration DateApril 26, 2016
Last NPPES UpdateMarch 3, 2021
NPPES CertifiedMarch 3, 2021
✔ NPI 1497100697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 82471
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License OT016938 (PA)
665 DULUTH HWY STE 501, Lawrenceville, GA 30046
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Secondary Practice Location 1

Location 11086 Franklin StJohnstown, PA 15905-4305 · Phone (814) 534-3745 · Fax (814) 534-5677

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Dr. Darren Dillard Do 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 ID6103110481
PECOS Enrollment IDI20190919000023
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 4

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.

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.
46 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services37 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.
22 services19 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110252
Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 18

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

TIK PAU M.D.
Family Medicine
665 DULUTH HWY STE 501
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-0400
MARIAM NEMATALLA ANTONIOS D.O.
Family Medicine
665 DULUTH HWY STE 501
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-0400
SHAHIL PATEL DO
Student in an Organized Health Care Education/Training Program
665 DULUTH HWY STE 501
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 341-0400
JULIA ROTH DO
Student in an Organized Health Care Education/Training Program
665 DULUTH HWY STE 501
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-0400
NINA WYATT MD
Student in an Organized Health Care Education/Training Program
665 DULUTH HWY STE 501
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-0400
MUHAMMAD KAMRAN SIDDIQ DO
Student in an Organized Health Care Education/Training Program
665 DULUTH HWY STE 501
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-0400
ALY SALEH DO
Student in an Organized Health Care Education/Training Program
665 DULUTH HWY STE 501
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-0400
FERUZA MUSTAFAYEVNA BEZGUNOVA
Student in an Organized Health Care Education/Training Program
665 DULUTH HWY STE 501
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-0491

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 Darren Dillard's NPI number?

The NPI number for Darren Dillard is 1497100697. It was assigned to this individual provider in the NPPES registry on April 26, 2016.

Where is Darren Dillard located?

Darren Dillard practices at 665 Duluth Hwy Ste 501, Lawrenceville, GA 30046. The listed phone number is (678) 312-0400.

What is Darren Dillard's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Darren Dillard enrolled in Medicare?

Yes. Darren Dillard 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 Darren Dillard accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Darren Dillard 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 Darren Dillard affiliated with any hospitals?

According to CMS data, Darren Dillard is affiliated with Northside Hospital Duluth.

When was this NPI record last updated?

The NPPES record for Darren Dillard was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.