DR. HUMZA ILYAS (NPI# 1417120601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417120601 |
| Entity Type | Individual |
| Full Name | DR. HUMZA ILYAS |
| Credential | M.D. |
| Practice Address |
3379 Peachtree Rd Ne Ste 500 Atlanta GA 30326-1418 |
| Practice Telephone | 4045914313 |
| Practice Fax Number | 6784207099 |
| Mailing Telephone | 4045914313 |
| Mailing Fax Number | 6784207099 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2019-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 25907 | WV | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
GA64830 | GA | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
010101256173 | VA | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
064830 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
3379 PEACHTREE RD NE STE 500 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30326-1418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235615246 | Mandy Alleen Ramer | Nurse Practitioner | 3379 Peachtree Rd Ne Ste 500, Atlanta, GA 30326-1418 | 2018-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126850 | Surge Home Care | In Home Supportive Care | 707 Park Ave. Ne, #1532, Atlanta, GA 30326 | 2020-08-31 |
| 1841800836 | Ascend Medical Georgia PC | Family Medicine | One Alliance Center, 3500 Lenox Road Suite 1500, Atlanta, GA 30326 | 2020-08-04 |
| 1356797344 | Shine Bright Family Services | Counselor | 3348 Peachtree Road Ne, Suite 700, Atlanta, GA 30326 | 2016-05-09 |
| 1225404726 | Fc Midlands N Charleston, LLC | Assisted Living Facility | 3500 Lenox Road, Suite 510, Atlanta, GA 30326 | 2015-08-19 |
| 1295116812 | Damaris Johnson | Marriage & Family Therapist | 3355 Lenox Dr., Suite 750, Atlanta, GA 30326 | 2015-06-10 |
| 1518347673 | Arterial Health International LLC | Physiological Laboratory | 3340 Peachtree Road, Ste 1800, Atlanta, GA 30326 | 2015-06-04 |
| 1578941902 | Dean Health Solutions, LLC | Durable Medical Equipment & Medical Supplies | 3379 Peachtree Road Ne, Suite 555, Atlanta, GA 30326 | 2015-05-18 |
| 1366720823 | Accuquest Hearing Centers LLC | Specialist | 3343 Peachtree Rd N.e., Suite M10b, Atlanta, GA 30326 | 2011-08-01 |
| 1861702029 | Three C, LLC | Durable Medical Equipment & Medical Supplies | 3500 Lenox Rd, Suite 500, Atlanta, GA 30326 | 2010-10-20 |
| 1679732713 | Sherry C Simpson | Counselor | Bel Esprit Psychotherapy & Consultation, LLC, 3340 Peachtree Road, Office 1860, Atlanta, GA 30326 | 2008-06-04 |
| Find all providers in zip 30326 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245572643 | Valerie Lananh Truong | Dermatology | 3193 Howell Mill Rd Nw Ste 220, Atlanta, GA 30327 | 2013-03-23 |
| 1063668762 | Medical Services of Northern Georgia, Inc. | Dermatology | 4060 Peachtree Rd Ne, #d284, Atlanta, GA 30319-3020 | 2008-08-13 |
| 1023015690 | Diamondis John Papadopoulos | Dermatology | 875 Johnson Ferry Rd Ne, Ste 300, Atlanta, GA 30342-1418 | 2005-06-28 |
| 1710449079 | Forefront Dermatology, S.c. | Dermatology | 5505 Peachtree Dunwoody Rd Ste 412, Atlanta, GA 30342-1758 | 2019-04-04 |
| 1245780980 | Baucom & Mina Derm Surgery, LLC | Dermatology | 5555 Peachtree Dunwoody Rd, Suite 206, Atlanta, GA 30342-1703 | 2016-10-06 |
| 1356507867 | Emory Medical Care Foundation | Dermatology | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2008-08-04 |
| 1538329149 | Mary Alice Nading Mina | Dermatology | 5555 Peachtree Dunwoody Rd, Suite 206, Atlanta, GA 30342 | 2008-06-17 |
| 1720100522 | Georgia Dermatologic Surgery Center, PC | Dermatology | 5555 Peachtree Dunwoody Rd Ne, Suite G65, Atlanta, GA 30342-1703 | 2007-04-04 |
| 1851421531 | Dermatology Consultants, P.C. | Dermatology | 2045 Peachtree Rd Ne, Suite 200, Atlanta, GA 30309-1414 | 2007-03-06 |
| 1487792404 | Atlanta Dermatologic Surgery Consultants, PC | Dermatology | 3193 Howell Mill Rd Nw, Suite 220, Atlanta, GA 30327-2119 | 2007-02-02 |
| Find all providers in ATLANTA | ||||
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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.