DERMDOC ATLANTA, LLC. (NPI# 1710450838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710450838 |
| Entity Type | Organization |
| Organization Name | DERMDOC ATLANTA, LLC. |
| Practice Address |
4150 Snapfinger Woods Dr Ste 210 Decatur GA 30035-3417 |
| Practice Telephone | 6784808900 |
| Mailing Telephone | 6784808900 |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-01-11 |
| Authorized Official Name | FLORENCE M HUMPHREY (OWNER) |
| Authorized Official Telephone | 6789499333 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 48245 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
4150 SNAPFINGER WOODS DR STE 210 |
| City | DECATUR |
| State | GA |
| Zip Code | 30035-3417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164919403 | Dermdoc Atlanta | Dermatology | 4150 Snapfinger Woods Dr Ste 210, Decatur, GA 30035-3417 | 2018-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972079978 | James L Vinson, Phd | Home Health Aide | 4050 Snapfinger Woods Drive, Suite 201, Decatur, GA 30035 | 2018-10-17 |
| 1417445206 | Kamla Gonzales | Nurse Practitioner | 5146 Miller Woods Trl, Decatur, GA 30035 | 2018-04-26 |
| 1578924924 | Alicia Marie Johnson Bryant | Social Worker | 5878 Covington Hwy, Decater, GA 30035 | 2016-03-14 |
| 1568865756 | Tracy Roberson | Counselor | 4150 Snapfinger Woods Drive, Decatur, GA 30035 | 2014-10-01 |
| 1972927861 | Tyrone D. Lane Enterprises, Incorporated | Psychologist | 5304 Panola Industrial Boulevard, Suite L, Decatur, GA 30035 | 2014-02-12 |
| 1013255355 | Mervin E Williams | Pharmacist | 2075 South Hairston, Decatur, GA 30035 | 2013-01-22 |
| 1205187572 | Mariana Simpson-walker | Speech-Language Pathologist | 4262 Clausell Ct Ste A, Decatur, GA 30035 | 2012-09-27 |
| 1053683854 | Jimiesh G Crane | Dentist | 5243 Snapfinger Woods Dr Ste 105, Decatur, GA 30035 | 2012-02-08 |
| 1568765824 | Salih Robinson | Health Educator | 2511 Lantrac Ct, Decatur, GA 30035 | 2010-12-08 |
| 1831428234 | Thomas Counseling | Counselor | 3781 Presidential Parkway, Suite 111c, Chamblee, GA 30035 | 2009-12-14 |
| Find all providers in zip 30035 | ||||
| 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 |
|---|---|---|---|---|
| 1164919403 | Dermdoc Atlanta | Dermatology | 4150 Snapfinger Woods Dr Ste 210, Decatur, GA 30035-3417 | 2018-04-20 |
| 1548649387 | Lakenya Odom | Dermatology | 18004 Anwar Trl, Decatur, GA 30032-7414 | 2015-05-26 |
| 1396916219 | Kathleen Jeanne Smith | Dermatology | 1670 Scott Blvd Ste 202, Decatur, GA 30033-5645 | 2008-03-19 |
| 1467574343 | Novie Sroa | Dermatology | 2000 Ben Merritt Dr Ste B, Decatur, TX 76234-3848 | 2007-04-04 |
| 1942247150 | Samantha S Wyatt | Dermatology | 620 Walnut St Ne, Suite A, Decatur, AL 35601-2456 | 2006-05-31 |
| 1649237363 | Joseph Thomas Backe | Dermatology | 1203 Medical Dr Se, Decatur, AL 35601 | 2006-04-27 |
| 1972588648 | James L Reeder Sr. | Dermatology | 1310 Somerville Rd Se, Decatur, AL 35601-4317 | 2005-12-14 |
| 1396735114 | Francis Chaepoong Lee | Dermatology | 606 W Pershing Rd, Suite E, Decatur, IL 62526-1633 | 2005-10-24 |
| 1265436067 | Jere H Weaver | Dermatology | 722 Bank St Ne, Decatur, AL 35601-1610 | 2005-06-09 |
| 1700369717 | Dermatology Solutions Pllc | Dermatology | 609 Medical Center Dr, Decatur, TX 76234-3836 | 2018-09-14 |
| Find all providers in DECATUR | ||||
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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.