DR. DAVID JONATHAN LEVINE (M.D.) – Dermatology Physician, NPI 1881693877

DR. DAVID JONATHAN LEVINE (M.D.) is a healthcare provider. based in Roswell, Georgia. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 027080 (GA). The NPI Number for DR. DAVID JONATHAN LEVINE (M.D.) is 1881693877

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID JONATHAN LEVINE (M.D.)
NPI
1881693877
Phone
(770) 751-1133
Address
1265 UPPER HEMBREE RD
Enumeration Date
20 July 2005
Last Update Date
2 November 2020

Doctor Profile

Medical School Name
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Secondary Phone
7707511133
Graduation Year
1983 (43 years ago)
PAC ID
5890741136
Group Practice PAC ID
3072569318
Professional Enrollment ID
I20100513000471
Address ID
GA300764910RO11685HWYX303

Contacts

Secure Messaging
dlevine@directaddress.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

409 DERMATOLOGY in GA

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Provider Addresses for DR. DAVID JONATHAN LEVINE (M.D.)

  • 1265, Upper Hembree Road, Roswell, Fulton, Georgia, 30076, United States

    SUITE 100

    ROSWELL, GA 300761143

    Phone: (770) 751-1133

    Fax: (770) 751-7410

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 55 Open Payments records for all available years, with a total value of $1,393.

Total Amount is formed as General ($1,393) + Research ($0) + Ownership ($0) = $1,393.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Amgen Inc. ($535).

Total Amount

$1,393

General + Research + Ownership

Payments

55

Total payment records

General Amount

$1,393

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-05-13

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
I20100513000471IDermatologyGATBD

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
17003Destruction of precancer skin growth, 2-14 growths2,899546$0
99213Established patient office or other outpatient visit, 20-29 minutes1,3241,087$0
17000Destruction of precancer skin growth, 1 growth932742$0
11102Biopsy of related skin growth, first growth566490$0
17110Destruction of skin growth, 1-14 growths213196$0
View full utilization report →

Insurance plans in this area (ZIP 30076)

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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: 3072569318View full group profile
NameSpecialtyState
-GA
D E R M A T O L O G YGA
D E R M A T O L O G YGA
D E R M A T O L O G YGA
D E R M A T O L O G YGA
D E R M A T O L O G YGA
D E R M A T O L O G YGA
D E R M A T O L O G YGA

Reviews

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Frequently asked questions

What is the registry number for DR. DAVID JONATHAN LEVINE (M.D.)?
The registry entry for DR. DAVID JONATHAN LEVINE (M.D.) shows NPI 1881693877.
Is DR. DAVID JONATHAN LEVINE (M.D.)'s NPI status active today?
Active status means DR. DAVID JONATHAN LEVINE (M.D.)'s NPI record is not deactivated in the public file.
How should patients interpret DR. DAVID JONATHAN LEVINE (M.D.)'s specialty?
The extract shows Dermatology Physician for DR. DAVID JONATHAN LEVINE (M.D.). Clinical services aligned with this taxonomy classification.
Can patients visit DR. DAVID JONATHAN LEVINE (M.D.) in Roswell, Georgia?
For routing, start with Roswell, Georgia for DR. DAVID JONATHAN LEVINE (M.D.), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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