GEORGIA DERMATOLOGY SPECIALISTS OF COWETA COUNTY (NPI# 1265544357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265544357 |
| Entity Type | Organization |
| Organization Name | GEORGIA DERMATOLOGY SPECIALISTS OF COWETA COUNTY |
| Other Organization Name | NEWNAN DERMATOLOGY |
| Practice Address |
710 Newnan Crossing Byp Suite A Newnan GA 30263-2384 |
| Practice Telephone | 7702515111 |
| Practice Fax Number | 7702548680 |
| Mailing Telephone | 7702515111 |
| Mailing Fax Number | 7702548680 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-11-26 |
| Authorized Official Name | MS. MARION E RUDDER (ADMINISTRATOR) |
| Authorized Official Telephone | 7702515111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Avail Dermatology | Doing Business As Name - Organization |
| Newnan Dermatology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134379514 | Georgia Dermatology Specialists of Coweta County | Dermatology | 1000 Cowles Clinc Way, Suite C-100, Greensboro, GA 30642-5285 | 2008-09-23 |
| Street Address |
710 NEWNAN CROSSING BYP SUITE A |
| City | NEWNAN |
| State | GA |
| Zip Code | 30263-2384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679913032 | Onyebuchi Neita | Physician Assistant | 710 Newnan Crossing Byp, Newnan, GA 30263-2384 | 2013-07-01 |
| 1013238245 | Ibrahim Wiah Adamu | Colon & Rectal Surgery | 710 Newnan Crossing Byp, Suite 200, Newnan, GA 30263-2384 | 2010-06-22 |
| 1356573281 | Neely Darragh Almand | Physician Assistant | 710 Newnan Crossing Byp, Newnan, GA 30263-2384 | 2009-08-11 |
| 1891954590 | Trisha Lynn Kennedy | Nurse Practitioner | 710 Newnan Crossing Byp, Newnan, GA 30263-2384 | 2008-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750914115 | Tina Harvey | Counselor | 55 A, Suite A, Newnan, GA 30263 | 2020-02-13 |
| 1407492846 | Pathways Center for Behavioral & Developmental Growth | Community/Behavioral Health | 78 Hospital Road, Newnan, GA 30263 | 2019-11-20 |
| 1831672047 | Jp & Jg Enterprises | Hospice Care, Community Based | 22 Madras Parkway, Newnan, GA 30263 | 2018-09-13 |
| 1376052928 | Newnan Endoscopy Center LLC | Clinic/Center | 1200 Lower Fayetteville Rd, Newnan, GA 30263 | 2017-09-27 |
| 1417314899 | Natalie Stephens | Speech-Language Pathologist | 87 Matador Way, Newnan, GA 30263 | 2016-01-15 |
| 1376943423 | Kathryn R Fletcher | Case Manager/Care Coordinator | 30 O'tara Woods Drive, Newnan, GA 30263 | 2014-08-26 |
| 1912260068 | Tamecia Hill | Counselor | 37 2nd Ave., Newnan, GA 30263 | 2012-06-22 |
| 1013289255 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 52 Perry St, Newnan, GA 30263 | 2012-02-03 |
| 1245513092 | Rocky Mountain Holdings LLC | Ambulance | 180 W Aviation Way, Newnan, GA 30263 | 2011-09-27 |
| 1316240427 | Georgia Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 395 Jackson St, Newnan, GA 30263 | 2010-12-10 |
| Find all providers in zip 30263 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326237520 | Larry H Pierce Md PC | Dermatology | 1267 Interstate Pkwy, Augusta, GA 30909-6481 | 2007-10-24 |
| 1891824108 | Tanda Nichole Lane | Dermatology | 1210 Brookstone Centre Pkwy, Columbus, GA 31904-2954 | 2007-03-04 |
| 1801959101 | South Fulton Dermatology Associates,llp | Dermatology | 2719 Felton Dr, East Point, GA 30344-3603 | 2006-12-18 |
| 1295818672 | Robert Mcclure IIi | Dermatology | 5024 Lawrenceville Hwy Nw, Lilburn, GA 30047-4914 | 2006-10-23 |
| 1952495558 | Larry H. Pierce | Dermatology | 1267 Interstate Pkwy., Augusta, GA 30909 | 2006-10-03 |
| 1578586400 | Jason L Smith | Dermatology | 103 John Maddox Dr Nw, Rome, GA 30165-1419 | 2006-07-25 |
| 1023082005 | Abdul Hafeez | Dermatology | 631 Professional Dr Ste 110, Lawrenceville, GA 30046-3367 | 2006-02-15 |
| 1205138757 | Amanda Eileen Harpring | Dermatology | 3379 Peachtree Rd Ne, Suite 500, Atlanta, GA 30326-1031 | 2010-12-02 |
| 1538396577 | Center for Dermatology, LLC | Dermatology | 631 Professional Dr Ste 110, Lawrenceville, GA 30046-3367 | 2009-06-17 |
| 1114100377 | Cole Dermatology & Aesthetic Center, P.C. | Dermatology | 3655 Howell Ferry Rd, Ste 400, Duluth, GA 30096-3186 | 2007-12-11 |
| Find all providers with the same taxonomy | ||||
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| 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.