DERMATOLOGY CONSULTANTS, P.C. (NPI# 1447564919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447564919 |
Entity Type | Organization |
Organization Name | DERMATOLOGY CONSULTANTS, P.C. |
Practice Address |
1519 Johnson Ferry Rd Suite 100 Marietta GA 30062-6409 |
Mailing Address |
2045 Peachtree Rd Ne Suite 200 Atlanta GA 30309-1414 |
Practice Telephone | 7709713376 |
Practice Fax Number | 7705788567 |
Mailing Telephone | 4043517546 |
Mailing Fax Number | 4043524706 |
Enumeration Date | 2010-07-27 |
Last Update Date | 2010-07-27 |
Authorized Official Name | MRS. KIMBERLY GOODEN (PRACTICE ADMINISTRATOR) |
Authorized Official Telephone | 4043517546 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | 45268 | GA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | MEDICARE GROUP NUMBER | GRP658 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982918462 | Dermatology Consultants, P.C. | Non-Pharmacy Dispensing Site | 4151 Hospital Dr Ne, Covington, GA 30014-2565 | 2010-07-27 |
1881719524 | Dermatology Consultants, P.C. | Dermatology | 6451 Chippewa St, Suite 2, Saint Louis, MO 63109-2104 | 2007-03-20 |
1851421531 | Dermatology Consultants, P.C. | Dermatology | 2045 Peachtree Rd Ne, Suite 200, Atlanta, GA 30309-1414 | 2007-03-06 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Massachusetts Corporations | DERMATOLOGY CONSULTANTS, P.C. | 1 Washington St., Wellesley, MA 02181 |
Street Address |
1519 JOHNSON FERRY RD SUITE 100 |
City | MARIETTA |
State | GA |
Zip Code | 30062-6409 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801948658 | Atlanta Women's Health Group, P.C. | Obstetrics & Gynecology | 1519 Johnson Ferry Rd, Suite 175, Marietta, GA 30062 | 2007-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
Find all providers in zip 30062 |
Taxonomy Code | 332900000X |
Grouping | Suppliers |
Classification | Non-Pharmacy Dispensing Site |
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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1093364028 | Ankle and Foot Centers of Georgia, LLC | Non-Pharmacy Dispensing Site | 2520 Windy Hill Rd Se Ste 205, Marietta, GA 30067-8650 | 2019-09-11 |
1245753052 | Walgreen Co | Non-Pharmacy Dispensing Site | 2833 Canton Rd, Marietta, GA 30066-5439 | 2017-07-24 |
1730573999 | Ehi Pharmacy Solutions, LLC. | Non-Pharmacy Dispensing Site | 792 Church St Ne, Marietta, GA 30060-8954 | 2015-03-26 |
1669660486 | Fibromyalgia and Fatigue Centers, Inc. | Non-Pharmacy Dispensing Site | 3750 Palladian Village Dr, Suite 300, Marietta, GA 30066-8200 | 2007-10-05 |
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1063061315 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 1280 Dogwood Dr Se, Conyers, GA 30013-5046 | 2019-09-10 |
1659929339 | Ankle and Foot Centers of Georgia, LLC | Non-Pharmacy Dispensing Site | 1975 Highway 54 W Ste 200, Peachtree City, GA 30269-4794 | 2019-08-27 |
1801444591 | Ankle and Foot Centers of Georgia, LLC | Non-Pharmacy Dispensing Site | 2326 Highway 34 E Ste 200, Newnan, GA 30265-1328 | 2019-08-27 |
1225686991 | Ankle and Foot Centers of Georgia, LLC | Non-Pharmacy Dispensing Site | 1819 Peachtree Rd Ne Ste 103, Atlanta, GA 30309-1848 | 2019-08-27 |
1265995724 | Georgia Urology Pa | Non-Pharmacy Dispensing Site | 5900 Hillandale Dr Ste 200, Lithonia, GA 30058-3858 | 2019-04-11 |
1861980955 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 4763 Atlanta Hwy Ste 420, Loganville, GA 30052-6788 | 2018-04-25 |
1184111338 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 10945 State Bridge Rd Ste 901, Alpharetta, GA 30022-8164 | 2018-04-13 |
1538666854 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 1575 Mount Vernon Rd, Dunwoody, GA 30338-4146 | 2018-04-12 |
1811494156 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 6063 Peachtree Pkwy Ste 210a, Peachtree Corners, GA 30092-3303 | 2018-04-12 |
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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.