THE DERM CENTER OF NEWTON (NPI# 1679682561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679682561 |
| Entity Type | Organization |
| Organization Name | THE DERM CENTER OF NEWTON |
| Other Organization Name | JOSEPH OVERTON, M.D. |
| Practice Address |
4155 Baker St Ne Suite 100 Covington GA 30014-1405 |
| Mailing Address |
Po Box 945934 Atlanta GA 30394-5934 |
| Practice Telephone | 7707880620 |
| Practice Fax Number | 6783423327 |
| Mailing Telephone | 7707880620 |
| Mailing Fax Number | 6783423327 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2010-10-05 |
| Authorized Official Name | CATHY VETETO (OFFICE MANAGER) |
| Authorized Official Telephone | 7707880620 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 038900 | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Joseph Overton, M.D. | Other Name - Individual/Organization |
| Street Address |
4155 BAKER ST NE SUITE 100 |
| City | COVINGTON |
| State | GA |
| Zip Code | 30014-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588665624 | Faull Sanders Trover | Pediatrics | 4155 Baker St Ne, Covington, GA 30014-1405 | 2005-08-10 |
| 1366755704 | Julie E Aitchison | Dietitian, Registered | 4155 Baker St Ne, Suite 100, Covington, GA 30014-1405 | 2010-07-14 |
| 1346359296 | Joseph T Overton Jr. | Dermatology | 4155 Baker St Ne, Suite 100, Covington, GA 30014-1405 | 2006-08-30 |
| 1487763355 | Shiara Vassian | Dermatology | 4155 Baker St Ne, Suite 100, Covington, GA 30014-1405 | 2006-08-30 |
| 1669443297 | Faull S. Trover, M.d.,p.c. | Pediatrics | 4155 Baker St Ne, Suite 300, Covington, GA 30014-1405 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
| 1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
| 1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
| 1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
| 1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
| 1275903973 | Jennifer Carol Bridges | Registered Nurse | 320 Malcom Lane, Covington, GA 30014 | 2015-10-07 |
| 1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
| 1366829814 | Wendy Pazdur | Counselor | 5109 Hwy 278 East, Suite D, Covington, GA 30014 | 2015-05-05 |
| 1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
| 1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
| Find all providers in zip 30014 | ||||
| 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 |
|---|---|---|---|---|
| 1255939526 | Mcdaniel Dermatology, LLC | Dermatology | 109 New Camellia Blvd Ste 200, Covington, LA 70433-7829 | 2020-10-09 |
| 1447678610 | Stratton Grisoli | Dermatology | 150 Lakeview Cir, Covington, LA 70433-7512 | 2014-04-03 |
| 1871928051 | Soine Medical Enterprises, LLC | Dermatology | 118 Lakeview Cir., Covington, LA 70433 | 2013-09-06 |
| 1013231034 | Christel Cary Malinski | Dermatology | 190 Greenbrier Blvd Ste 103, Covington, LA 70433-7237 | 2010-03-19 |
| 1447410550 | Erik J Soine | Dermatology | 118 Lakeview Circle, Covington, LA 70433-7512 | 2008-06-11 |
| 1366418881 | Gary Ross Brown | Dermatology | 1011 S Tyler St, Covington, LA 70433 | 2006-02-24 |
| 1619339579 | Kristen Bice | Dermatology | 714 W 16th Ave, Covington, LA 70433-2422 | 2016-03-22 |
| 1962744730 | Tracie Lebleu Pearson | Dermatology | 1000 Ochsner Blvd, Covington, LA 70433 | 2013-03-20 |
| 1164748539 | Lauren Michelle Thomassie | Dermatology | 1000 Ochsner Blvd, Covington, LA 70433-8107 | 2010-04-10 |
| 1528228848 | Matthew S Bremmer | Dermatology | 27005 168th Pl Se, Ste 301, Covington, WA 98042-4902 | 2008-06-10 |
| Find all providers in COVINGTON | ||||
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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.