PREMIER DERMATOLOGY AND MOHS SURGERY OF ATLANTA LLC (NPI# 1588118574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588118574 |
| Entity Type | Organization |
| Organization Name | PREMIER DERMATOLOGY AND MOHS SURGERY OF ATLANTA LLC |
| Practice Address |
3180 N Point Pkwy Ste 420 Alpharetta GA 30005-4248 |
| Practice Telephone | 6783451899 |
| Practice Fax Number | 6783451927 |
| Mailing Telephone | 6783451899 |
| Mailing Fax Number | 6783451927 |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-09-06 |
| Authorized Official Name | DR. BRENT ROBERT TAYLOR (OWNER) |
| Authorized Official Telephone | 6783451899 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 73661 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
3180 N POINT PKWY STE 420 |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30005-4248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344477 | Carol A Hector | Internal Medicine | 3180 N Point Pkwy, Ste 303, Alpharetta, GA 30005-4522 | 2005-05-23 |
| 1962935999 | Shannon M Trippe | Registered Nurse | 3180 N Point Pkwy, Suite 207, Alpharetta, GA 30005-4248 | 2017-04-06 |
| 1770015547 | Jonathan Freeman | Specialist/Technologist, Other | 3180 N Point Pkwy, Suite 207, Alpharetta, GA 30005-4248 | 2017-03-31 |
| 1487104477 | Nancy Kilpatrick | Specialist/Technologist, Other | 3180 N Point Pkwy, Suite 207, Alpharetta, GA 30005-4248 | 2016-10-13 |
| 1548652035 | Katie H Goodwin | Specialist/Technologist, Other | 3180 N Point Pkwy, Suite 207, Alpharetta, GA 30005-4248 | 2015-02-20 |
| 1841610342 | Claudia Mueller-roopnarine | Chiropractor | 3180 N Point Pkwy, Suite 101, Alpharetta, GA 30005-4248 | 2014-04-23 |
| 1528406261 | Scott A Van Nest | Specialist/Technologist, Other | 3180 N Point Pkwy, Building 200 Ste 207, Alpharetta, GA 30005-4248 | 2013-06-04 |
| 1669736559 | Moshe Bachar | Internal Medicine | 3180 N Point Pkwy, Ste 302, Alpharetta, GA 30005-4381 | 2012-06-26 |
| 1598076275 | Long H. Le, M.d.,p.c. | Specialist | 3180 N Point Pkwy, Bldg. 200 Suite 201, Alpharetta, GA 30005-4248 | 2010-06-28 |
| 1306070925 | Jona Bandyopadhyay | Obstetrics & Gynecology | 3180 N Point Pkwy, Building 200, Suite 205, Alpharetta, GA 30005-4248 | 2009-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615483 | Amarrah Shatia Guyton | Behavior Technician | 6505 Shiloh Point Road, Alpharetta, GA 30005 | 2020-09-29 |
| 1396351771 | Stephanie Hightower | Behavior Technician | 6505 Shiloh Pt Rd, Alpharetta, GA 30005 | 2020-09-21 |
| 1689130874 | Optima Eye Care LLC | Optometrist | 6365 Halcyon Way, Suite 935, Alpharetta, GA 30005 | 2019-02-13 |
| 1275006652 | Ariel Kaitlyn Petrakovich | Behavioral Analyst | 6505 Shiloh Road, Suite 100, Alpharetta, GA 30005 | 2019-01-08 |
| 1003306515 | Brightview Pharmacy, LLC | Pharmacy | 3333 Old Milton Pkwy Ste 130, Alpharetta, GA 30005 | 2018-05-10 |
| 1316452600 | Kara Marie Arps | Physical Therapist | 855 Yearling Chase, Alpharetta, GA 30005 | 2017-12-08 |
| 1417468307 | Paige Biringer | Physical Therapist | 6495 Shiloh Rd Ste 100, Alpharetta, GA 30005 | 2017-10-18 |
| 1528587169 | Laura Kinney Pearce | Speech-Language Pathologist | 6505 Shiloh Rd #100, Alpharetta, GA 30005 | 2017-09-14 |
| 1629526678 | Samantha Menton | Chiropractor | 11875 Jones Bridge Road, Suite A, Alpharetta, GA 30005 | 2016-09-20 |
| 1427424183 | Trek Medical, LLC | Clinic/Center | 5895 Windward Parkway, Suite 150, Alpharetta, GA 30005 | 2015-08-18 |
| Find all providers in zip 30005 | ||||
| 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 |
|---|---|---|---|---|
| 1871703371 | Chynna Steele Johnson | Dermatology | 11500 Webb Bridge Way, Suite 4a, Alpharetta, GA 30005-2046 | 2007-05-23 |
| 1710931027 | Tiffani K Hamilton | Dermatology | 11800 Atlantis Pl, Alpharetta, GA 30022-1160 | 2006-05-20 |
| 1447803424 | Galloway Dermatologic Surgery LLC | Dermatology | 3400 Old Milton Pkwy Ste C465, Alpharetta, GA 30005-4429 | 2019-07-19 |
| 1144470808 | Preston Ridge Dermatology, PC | Dermatology | 3155 N Point Pkwy, Bldg E Ste 100, Alpharetta, GA 30005-5494 | 2008-09-30 |
| 1245415603 | Christine Patricia Glavey | Dermatology | 401 S Main St, Suite C7, Alpharetta, GA 30004-1974 | 2008-01-04 |
| 1083770374 | Corinne G. Smith, Md,pc | Dermatology | 3400-c Old Milton Parkway, Suite 565, Alpharetta, GA 30005 | 2006-12-29 |
| 1326133224 | Eileen S Niren | Dermatology | 3155 N Point Pkwy, Bldg E Ste 100, Alpharetta, GA 30005-5494 | 2006-10-04 |
| 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 | ALPHARETTA |
| Zip Code | 30005 |
Please comment or provide details below to improve the information on PREMIER DERMATOLOGY AND MOHS SURGERY OF ATLANTA LLC.
| 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.