LANIER DERMATOLOGY & SKIN CANCER SPECIALISTS, PC (NPI# 1437109899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437109899 |
| Entity Type | Organization |
| Organization Name | LANIER DERMATOLOGY & SKIN CANCER SPECIALISTS, PC |
| Other Organization Name | KEVIN L. SMITH, MD PC |
| Practice Address |
605 S Enota Dr Ne Gainesville GA 30501-2437 |
| Practice Telephone | 7705380208 |
| Practice Fax Number | 7705380556 |
| Mailing Telephone | 7705380208 |
| Mailing Fax Number | 7705380556 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2015-12-11 |
| Authorized Official Name | MRS. CARMEN L SMITH (MANAGER) |
| Authorized Official Telephone | 7705380208 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | AETNA | 0007735230 | 01 |
| GA | RAILROAD MEDICARE | 070011202 | 01 |
| GA | RAILROAD MEDICARE | 070015990 | 01 |
| GA | BCBS | 1306896931 | 01 |
| GA | RAILROAD MEDICARE | CH9982 | 01 |
| GA | 000678983B | 05 | |
| GA | 000814767A | 05 | |
| GA | AETNA | 0005756529 | 01 |
| GA | BCBS | 1487604021 | 01 |
| Other Name | Type Code |
|---|---|
| Kevin L. Smith, MD PC | Former Legal Business Name - Organization |
| Street Address |
605 S ENOTA DR NE |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-2437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376879825 | Justin R Smith | Physician Assistant | 605 S Enota Dr Ne, Gainesville, GA 30501-2437 | 2009-10-19 |
| 1306896931 | Kevin L Smith | Dermatology | 605 S Enota Dr Ne, Gainesville, GA 30501-2437 | 2006-05-12 |
| 1487604021 | Michael B Reynolds | Dermatology | 605 S Enota Dr Ne, Gainesville, GA 30501-2437 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| 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 |
|---|---|---|---|---|
| 1053602128 | Vlatka Agnetta | Dermatology | 4037 Nw 86th Ter Fl 4, Gainesville, FL 32606-9277 | 2011-04-25 |
| 1245521251 | Marjorie E Montanez-wiscovich | Dermatology | 1600 Sw Archer Rd # 100279, Gainesville, FL 32610-3003 | 2011-04-25 |
| 1104051515 | Sailesh Konda | Dermatology | 4037 Nw 86th Ter, 4th Floor, Gainesville, FL 32606-9277 | 2009-05-29 |
| 1104081322 | Reena Moza Vaid | Dermatology | 7500 Gardner Park Dr, Gainesville, VA 20155-3414 | 2008-07-28 |
| 1972708329 | Daven Navnit Doshi | Dermatology | 4525 Sw 13th St, Gainesville, FL 32608-3901 | 2007-06-17 |
| 1821157116 | Dermatology Associates Ne Ga | Dermatology | 974 South Enota Drive Ne, Gainesville, GA 30501 | 2006-12-06 |
| 1275628562 | Betsy B Beers | Dermatology | 350 Nw 76 Drive, Suite A, Gainesville, FL 32607 | 2006-10-04 |
| 1861504516 | Ruth C Wilkerson | Dermatology | 4850 Sw 91 Terrace, Ste P 102, Gainesville, FL 32608-6038 | 2006-08-31 |
| 1598787756 | Kurt Laurence Maggio | Dermatology | 7512 Gardner Park Dr, Gainesville, VA 20155-3414 | 2006-07-24 |
| 1467414235 | Keith Whitmer | Dermatology | 114 Nw 76th Dr, Gainesville, FL 32607-6652 | 2006-04-05 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
Please comment or provide details below to improve the information on LANIER DERMATOLOGY & SKIN CANCER SPECIALISTS, PC.
| 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.