O'REILLY COMPREHENSIVE DERMATOLOGY, INC. (NPI# 1720506231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720506231 |
| Entity Type | Organization |
| Organization Name | O'REILLY COMPREHENSIVE DERMATOLOGY, INC. |
| Practice Address |
755 Mount Vernon Hwy. Suite 330 Atlanta GA 30228 |
| Mailing Address |
1421 Wessyngton Road Atlanta GA 30306 |
| Practice Telephone | 4043308445 |
| Practice Fax Number | 4043308456 |
| Mailing Telephone | 4042734440 |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2018-08-03 |
| Authorized Official Name | MR. JAMES ZWALD (VICE PRESIDENT/SECRETARY) |
| Authorized Official Telephone | 4042734440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 50418 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
755 MOUNT VERNON HWY. SUITE 330 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196166 | Mutinta Matimba Hamuwele | Nurse Practitioner | 10988 Genova Ter, Hampton, GA 30228 | 2020-05-19 |
| 1487295044 | Living Testimony Homecare, LLC | Home Health | 10833 Southwood Drive, Hampton, GA 30228 | 2019-10-04 |
| 1598246878 | Emma Ledbetter | Nurse Practitioner | 1910 Elm Park Dr, Hampton, GA 30228 | 2018-08-24 |
| 1720500648 | Sophia Demetria Edwards | Home Health Aide | 2059 Grove Way, Hampton, GA 30228 | 2017-07-12 |
| 1083143432 | Ciera Jayna Scales | Dentist | 144 Revolutionary Dr, Hampton, GA 30228 | 2017-06-08 |
| 1811446438 | Alwarna Pasteur | Contractor | 1419 Hyde Court, Hampton, GA 30228 | 2016-09-23 |
| 1932599370 | Corlyn Doolittle | Speech-Language Pathologist | 412 Lakeside Villa Dr, Lovejoy, GA 30228 | 2015-01-23 |
| 1114367596 | Mayer Counseling Services,llc | Counselor | 591 Toronto Circle, Hampton, GA 30228 | 2013-06-28 |
| 1932544269 | Eye Can See Eyewear Inc. | Technician/Technologist | 22 E. Main St. N., Hampton, GA 30228 | 2013-04-30 |
| 1689917635 | Royal Hands Healthcare Services, Inc | In Home Supportive Care | 1012 Spaniel Terrrace, Hampton, GA 30228 | 2013-03-28 |
| Find all providers in zip 30228 | ||||
| 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 |
|---|---|---|---|---|
| 1932762218 | Laura Quinn Biehle | Dermatology | 5730 Glenridge Dr Ste T100, Atlanta, GA 30328-5747 | 2019-04-22 |
| 1366952707 | Chelsie Rogers | Dermatology | 371 E Paces Ferry Rd Ne Ste 825, Atlanta, GA 30305-3292 | 2017-10-11 |
| 1356872246 | Tova Rogers | Dermatology | 1525 Clifton Road Suite 105, Atlanta, GA 30322 | 2017-03-23 |
| 1255614855 | Paul Calvin Cronce | Dermatology | 1747 Timberland Rd Ne, Atlanta, GA 30345-4166 | 2011-09-21 |
| 1205123296 | Josh A Hammel | Dermatology | 4360 Chamblee Dunwoody Rd Ste 260, Atlanta, GA 30341 | 2011-06-29 |
| 1093006793 | Seema Panduranga Kini | Dermatology | Emory University Graduate, 1648 Pierce Dr., Atlanta, GA 30322-0001 | 2011-04-28 |
| 1639478464 | Julia Pettersen Neckman | Dermatology | 875 Johnson Fy Rd Ne Ste 300, Atlanta, GA 30342 | 2011-03-18 |
| 1952628471 | Justin Thomas Cheeley | Dermatology | 1525 Clifton Rd Ne Dept Of, Atlanta, GA 30322-1059 | 2010-04-23 |
| 1245404854 | Tunisia Finch Cornelius | Dermatology | 1039 Grant St Se Ste A-11, Atlanta, GA 30315 | 2008-04-15 |
| 1417120601 | Humza Ilyas | Dermatology | 3379 Peachtree Rd Ne Ste 500, Atlanta, GA 30326-1418 | 2008-04-08 |
| Find all providers in ATLANTA | ||||
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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.