Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Demetrius Leutrel Dicks, MD

Individual provider Diagnostic Radiology Physician · NPI 1336375500

Demetrius Leutrel Dicks, MD is a Diagnostic Radiology in Marietta, Georgia. Graduated from Stanford University School of Medicine in 2003, 23 years ago. Practices with Quantum Radiology PC, a 105-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Washington.

Years since qualifying
23
Trained at
Stanford University School of Medicine
Licensed in
GA, WA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

790 Church St NE Ste 400
Marietta, GA 30060-8957
Phone: (770) 405-2976
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1959 Ne Pacific St, Seattle, WA 98195-0001 — (206) 540-0308

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 078017 (GA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 60079309 (WA)

Record details

NPI number1336375500
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2009
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024
Mailing addressPo Box 3157, Indianapolis, IN 46206-3157

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolSTANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Quantum Radiology Pc — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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