Jonathan Fass, MD

ActiveIndividual ProviderDermatology
NPI issued: June 17, 2005

Quick Facts

NPI Number
1104821917
TypeIndividual
StatusActive
SpecialtyDermatology
Taxonomy207N00000X — Dermatology
Phone
(706) 543-5858
StateGA

NPI Validation Status: Verified

Valid 10-digit NPI number (1104821917)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (June 17, 2005)
Data source: CMS NPPES

Provider Overview

JONATHAN FASS, MD is a Dermatology provider based in Greensboro, GA who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1104821917
Provider TypeIndividual Provider
GenderMale
CredentialMD
StatusActive
Enumeration DateJune 17, 2005

Practice Location

CityGreensboro
StateGA
ZIP Code30642-5285
Phone(706) 543-5858

Specialties & Licenses

★ Primary
SpecialtyDermatology
Taxonomy Code207N00000X
License StateGA

Mailing Address

CityGreensboro
StateGA
ZIP Code30642-5285
Phone(706) 543-5858
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1104821917 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1104821917for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1104821917 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dermatology

Dermatologists specialize in the medical, surgical, and cosmetic treatment of disorders affecting the skin, hair, nails, and mucous membranes.

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20,662
Dermatology Providers in the US

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People Also Ask

What is Jonathan Fass's NPI number?
Jonathan Fass's NPI number is 1104821917, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jonathan Fass's NPI currently active?
Yes, Jonathan Fass's NPI status is Active as of the latest CMS NPPES database updates.
What does Jonathan Fass specialize in?
Jonathan Fass specializes in Dermatology. The healthcare taxonomy code associated with this specialty is 207N00000X.
Where does Jonathan Fass practice?
Jonathan Fass practices in Greensboro, GA 30642-5285.
When was Jonathan Fass's NPI issued?
Jonathan Fass's NPI was issued on June 17, 2005.
What is Jonathan Fass's provider type?
Jonathan Fass is registered as an Individual Provider under CMS NPI Type 1.