GEORGIA DERMASURGERY CENTERS, INC. (NPI# 1710924881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710924881 |
| Entity Type | Organization |
| Organization Name | GEORGIA DERMASURGERY CENTERS, INC. |
| Practice Address |
2400 Bellevue Rd 16 Erin Office Park Dublin GA 31021-2885 |
| Mailing Address |
2400 Bellevue Rd Ste 21a Dublin GA 31021-2890 |
| Practice Telephone | 4782752694 |
| Practice Fax Number | 4782752484 |
| Mailing Telephone | 4783281433 |
| Mailing Fax Number | 4789227939 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2008-05-30 |
| Authorized Official Name | DR. MICHAEL J SHARKEY (PRESIDENT) |
| Authorized Official Telephone | 4782752694 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
087-215 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 565599901A | 05 | |
| GA | RAILROAD MEDICARE | P00127281 | 01 |
| Street Address |
2400 BELLEVUE RD 16 ERIN OFFICE PARK |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-2885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538167523 | Tonya B Nicholson | Advanced Practice Midwife | 2400 Bellevue Rd, Erin Office Suite 26, Dublin, GA 31021-2885 | 2005-07-13 |
| 1619576253 | Rachel Westerbeck | Physician Assistant | 2400 Bellevue Rd, Dublin, GA 31021-2885 | 2020-10-24 |
| 1750906103 | Brandon Brown | Dentist | 2400 Bellevue Rd, Dublin, GA 31021-2885 | 2020-06-11 |
| 1942747274 | Jill Pavesich | Nurse Practitioner | 2400 Bellevue Rd, Suite 26, Dublin, GA 31021-2885 | 2017-01-25 |
| 1457759508 | Family Dentistry of Dublin, P.C. | Dentist | 2400 Bellevue Rd, #24, Dublin, GA 31021-2885 | 2014-12-05 |
| 1851724256 | Billy H Moses Jr Md LLC | Surgery | 2400 Bellevue Rd, #11 Erin Office Park, Dublin, GA 31021-2885 | 2013-08-21 |
| 1508124249 | Dublin Womens Center | Obstetrics & Gynecology | 2400 Bellevue Rd, Erin Office Park 26, Dublin, GA 31021-2885 | 2012-05-01 |
| 1396023404 | Dublin Dialysis Center LLC | Clinic/Center | 2400 Bellevue Rd, Suite 29a, Dublin, GA 31021-2885 | 2011-07-25 |
| 1659670982 | Kathryn Falk Johnson | Optometrist | 2400 Bellevue Rd, 18 Erin Office Park, Dublin, GA 31021-2885 | 2011-03-25 |
| 1770894867 | Felicia Fountain | Ophthalmology | 2400 Bellevue Rd, 18 Erin Office Park, Dublin, GA 31021-2885 | 2010-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| Find all providers in zip 31021 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306374301 | Tri Valley Surgery Center | Clinic/Center | 11860 Dublin Blvd, Dublin, CA 94568-2828 | 2017-06-02 |
| 1023149242 | Dublin Orthopaedics Asc, Inc. | Clinic/Center | 2627 Moore Station Road, Dublin, GA 31021 | 2007-03-08 |
| 1093710873 | Dublin Surgical Center, LLC | Clinic/Center | 5005 Parkcenter Ave, Dublin, OH 43017-3582 | 2005-06-17 |
| 1275040800 | Bradenton Surgery Center LLC | Clinic/Center | 4930 Bradenton Ave, Dublin, OH 43017 | 2018-01-04 |
| 1679092209 | Tir Valley Plastic Surgery Center, LLC | Clinic/Center | 11860 Dublin Blvd, Dublin, CA 94568-2828 | 2017-09-14 |
| 1578808069 | Hillcrest Surgery Center, LLC | Clinic/Center | 1110 Hillcrest Pkwy, Dublin, GA 31021-3687 | 2012-12-10 |
| 1710201538 | Dublin Surgery Center LLC | Clinic/Center | 5005 Parkcenter Ave, Dublin, OH 43017-3582 | 2010-03-23 |
| 1295911154 | Central Ohio Endoscopy Center, LLC | Clinic/Center | 6670 Perimeter Dr, Suite 200, Dublin, OH 43016-8056 | 2008-01-10 |
| 1902095417 | Perimeter Surgical Center Inc | Clinic/Center | 6620 Perimeter Dr, Suite 100b, Dublin, OH 43016-8055 | 2007-10-21 |
| 1063609238 | Associates In Central Ohio Obstetrics & Gynecology, Inc | Clinic/Center | 7235 Sawmill Rd, Suite 200, Dublin, OH 43016-5003 | 2007-10-01 |
| Find all providers in DUBLIN | ||||
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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.