Dirk Robertson, M.D.
Dirk Robertson, M.D. is a Plastic and Reconstructive Surgery Physician in Atlanta, GA, registered under NPI 1891804092. This provider registers 7 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 3193 HOWELL MILL RD NW PACES PAVILION SUITE 220, Atlanta, GA 30327. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 025658 | GA | Plastic and Reconstructive Surgery… primary |
| 025658 | GA | Dermatology Physician |
| 025658 | GA | Procedural Dermatology Physician |
| 025658 | GA | Dermatopathology Physician |
| 025658 | GA | MOHS-Micrographic Surgery Physician |
| 025658 | GA | Plastic Surgery Physician |
| 025658 | GA | Surgery Physician |
This provider holds licence 025658 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Dermatology
- PAC ID
- 1951487024
- Enrollment ID
- I20100505000915
Medicare enrolment is recorded as approved under the provider type Practitioner - Dermatology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Plastic and Reconstructive Surgery covers
A surgeon who specializes in plastic and reconstructive surgery. NUCC Health Care Provider Taxonomy, code 2086S0122X
All registered taxonomy codes
This provider registers 7 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2086S0122X | Plastic and Reconstructive Surgery Physician Plastic and Reconstructive Surgery | 025658 | GA | primary |
| 207N00000X | Dermatology Physician | 025658 | GA | |
| 207NS0135X | Procedural Dermatology Physician Procedural Dermatology | 025658 | GA | |
| 207ND0900X | Dermatopathology Physician Dermatopathology | 025658 | GA | |
| 207ND0101X | MOHS-Micrographic Surgery Physician MOHS-Micrographic Surgery | 025658 | GA | |
| 208200000X | Plastic Surgery Physician | 025658 | GA | |
| 208600000X | Surgery Physician | 025658 | GA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1891804092 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Aug 30, 2006 |
| Last updated | Sep 11, 2025 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | M.D. |
| Practice address |
3193 HOWELL MILL RD NW PACES PAVILION SUITE 220 Atlanta, GA 30327 (404) 350-5777 Fax (404) 350-5755 |
| Mailing address |
11 RIVERLY PL NW Atlanta, GA 30327 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 8 | 9 | 1 | 8 | 0 | 4 | 0 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 9 | 1 | 7 | 0 | 8 | 0 | 9 |
Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.