JOHNS CREEK DERMATOLOGY AND FAMILY MEDICINE, P.C. (NPI# 1053565580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053565580 |
| Entity Type | Organization |
| Organization Name | JOHNS CREEK DERMATOLOGY AND FAMILY MEDICINE, P.C. |
| Practice Address |
6300 Hospital Pkwy Ste 100 Johns Creek GA 30097 |
| Practice Telephone | 7707716591 |
| Practice Fax Number | 7707716599 |
| Mailing Telephone | 7707716591 |
| Mailing Fax Number | 7707716599 |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2010-10-05 |
| Authorized Official Name | DR. SHEREEN TIMANI (OWNER) |
| Authorized Official Telephone | 7707716591 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
061526 | GA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 061566 | GA | Allopathic & Osteopathic Physicians |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
061566 | GA | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | 061526 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 437442038A | 05 | |
| GA | DR. AHMAD CHARKAWI | 1982602074 | 01 |
| GA | DR SHEREEN TIMANI | 1851505077 | 01 |
| Street Address |
6300 HOSPITAL PKWY STE 100 |
| City | JOHNS CREEK |
| State | GA |
| Zip Code | 30097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164422572 | William Jay Lichtenfeld | Physical Medicine & Rehabilitation | 6300 Hospital Pkwy, Suite 400, Johns Creek, GA 30097-1828 | 2005-07-28 |
| 1801320510 | Johns Creek Center for Pain and Spine | Clinic/Center | 6300 Hospital Pkwy, Suite 425, Johns Creek, GA 30097-1828 | 2017-04-19 |
| 1922547538 | Andre Bell Sr. | Physical Therapist | 6300 Hospital Pkwy, Suite 400, Johns Creek, GA 30097-1828 | 2017-02-15 |
| 1831577568 | Orthoatlanta | Specialist | 6300 Hospital Pkwy, Johns Creek, GA 30097-1828 | 2015-05-14 |
| 1174918411 | Heather Deberry | Physician Assistant | 6300 Hospital Pkwy, Suite 400, Johns Creek, GA 30097-1828 | 2015-04-03 |
| 1447665757 | Dorkesha Marvena Denise Hill | Specialist/Technologist | 6300 Hospital Pkwy, Suite 400, Johns Creek, GA 30097-1828 | 2014-06-25 |
| 1558787614 | Digestive Care Endoscopy | Clinic/Center | 6300 Hospital Pkwy, Ste 440, Johns Creek, GA 30097-1828 | 2014-03-13 |
| 1558796896 | Muccioli Dental, PC | Dentist | 6300 Hospital Pkwy, Suite 275, Johns Creek, GA 30097-1828 | 2013-09-05 |
| 1417295528 | Atlanta General and Bariatric Surgery Center, LLC | Clinic/Center | 6300 Hospital Pkwy, Suite 150, Johns Creek, GA 30097-1828 | 2013-01-24 |
| 1477804540 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 6300 Hospital Pkwy, Suite 300, Johns Creek, GA 30097-1828 | 2012-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447437322 | Paola Bonaccorsi | Dermatology | 10680 Medlock Bridge Rd, Ste 204, Johns Creek, GA 30097-8420 | 2008-01-23 |
| 1851505077 | Shereen Timani-charkawi | Dermatology | 6300 Hospital Pkwy, Suite 100, Johns Creek, GA 30097 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720686058 | Worldwide Medical Healthcare Inc | Dermatology | 790 Church St Ne Ste 300, Marietta, GA 30060-8902 | 2020-10-09 |
| 1972142891 | Worldwide Medical Distributor, LLC | Dermatology | 3780 Old Norcross Rd Ste 103, Duluth, GA 30096-1762 | 2019-12-23 |
| 1932762218 | Laura Quinn Biehle | Dermatology | 5730 Glenridge Dr Ste T100, Atlanta, GA 30328-5747 | 2019-04-22 |
| 1003479254 | Kiley Katherine Fagan | Dermatology | 775 Aronson Lake Ct, Roswell, GA 30075-7172 | 2019-04-15 |
| 1346700127 | Gerald Chotiner | Dermatology | 2887 Gant Qtrs. Circle, Marietta, GA 30068-3719 | 2019-03-20 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1154890564 | Sidney Adele Brown-caggiano | Dermatology | 4645 Timber Ridge Dr Ste 100, Douglasville, GA 30135-7542 | 2018-11-14 |
| 1194209163 | Live Oak Dermatology | Dermatology | 135 Norcross St # 8, Roswell, GA 30075-3867 | 2018-09-17 |
| 1942780994 | Skyn Clinic & Apothecary | Dermatology | 1150 Peachtree Industrial Blvd Ste 165, Suwanee, GA 30024-1903 | 2018-08-20 |
| 1649750688 | Zola Nemorin | Dermatology | 1500 Peachtree Industrial Blvd Ste 165, Suwanee, GA 30024-8490 | 2018-08-20 |
| Find all providers with the same taxonomy | ||||
| City | JOHNS CREEK |
| Zip Code | 30097 |
Please comment or provide details below to improve the information on JOHNS CREEK DERMATOLOGY AND FAMILY MEDICINE, P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.