GARY M DALLEY (M.D.) – Internal Medicine Physician, NPI 1629071873

GARY M DALLEY (M.D.) is a healthcare provider. based in Gainesville, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 045760 (GA). The NPI Number for GARY M DALLEY (M.D.) is 1629071873

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
GARY M DALLEY (M.D.)
NPI
1629071873
Phone
(770) 287-1144
Address
2130 IMPERIAL DR
Enumeration Date
23 May 2005
Last Update Date
29 January 2021

Doctor Profile

Medical School Name
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
2567485253
Group Practice PAC ID
6901898386
Professional Enrollment ID
I20060109000661
Address ID
GA305175603BR1515XPLXX300
Telehealth
Yes

Contacts

Secure Messaging
gdalley29355@nghs.gadirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:21State licenses:1Other namesUpdated within 12 months

5,405 INTERNAL MEDICINE in GA

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Provider Addresses for GARY M DALLEY (M.D.)

  • Imperial Drive, Sunset Heights, Gainesville, Hall County, Georgia, 30501, United States

    GAINESVILLE, GA 305011315

    Phone: (770) 287-1144

    Type: Mailing

  • Johnson's River Place Pharmacy, 2625, Old Winder Highway, Braselton, Hall County, Georgia, 30517, United States

    SUITE 200

    BRASELTON, GA 305175602

    Phone: (770) 848-6140

    Fax: (770) 848-6141

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $384.

Total Amount is formed as General ($384) + Research ($0) + Ownership ($0) = $384.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Novo Nordisk Inc ($128).

Total Amount

$384

General + Research + Ownership

Payments

21

Total payment records

General Amount

$384

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-01-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060109000661IInternal MedicineGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample609440$0
99213Established patient office or other outpatient visit, 20-29 minutes417305$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit380380$0
99214Established patient office or other outpatient visit, 30-39 minutes360285$0
83036Hemoglobin a1c level265205$0
View full utilization report →

Insurance plans in this area (ZIP 30501)

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Provider's Procedures

GARY M DALLEY (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEGA85610Blood test, clotting time16814

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901898386View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YGA
-GA
-GA
A N E S T H E S I O L O G YGA
-GA
-GA
Physician AssistantGA
Nurse PractitionerGA
Surgical Oncology, General SurgeryNJ
Pulmonary DiseaseNY

Reviews

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Frequently asked questions

What NPI should I save for GARY M DALLEY (M.D.)?
Save NPI 1629071873 if you need a stable reference for GARY M DALLEY (M.D.).
Is GARY M DALLEY (M.D.)'s NPI currently valid?
The extract we use shows GARY M DALLEY (M.D.) as active.
What field does GARY M DALLEY (M.D.) work in?
You can think of GARY M DALLEY (M.D.) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is GARY M DALLEY (M.D.)'s primary listing?
We display Gainesville, Georgia because that is what the record indicates for GARY M DALLEY (M.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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