ATLANTA SKIN AND AESTHETICS (NPI# 1780872556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780872556 |
Entity Type | Organization |
Organization Name | ATLANTA SKIN AND AESTHETICS |
Other Organization Name | ATLANTA SKIN AND AESTHETICS |
Practice Address |
5671 Peachtree Dunwoody Rd Ste 660 Atlanta GA 30342-5006 |
Practice Telephone | 4042524110 |
Practice Fax Number | 4042522188 |
Mailing Telephone | 4042524110 |
Mailing Fax Number | 4042522188 |
Enumeration Date | 2007-10-05 |
Last Update Date | 2019-03-15 |
Authorized Official Name | RICHARD EDGAR NIX JR. (BUSINESS MANAGER) |
Authorized Official Telephone | 4042524110 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Atlanta Skin and Aesthetics | Doing Business As Name - Organization |
Peachtree Dunwoody Dermatology | Doing Business As Name - Organization |
Street Address |
5671 PEACHTREE DUNWOODY RD STE 660 |
City | ATLANTA |
State | GA |
Zip Code | 30342-5006 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467406082 | Jay A Levin | Dermatology | 5671 Peachtree Dunwoody Rd Ste 660, Atlanta, GA 30342-5006 | 2006-05-19 |
1306464698 | Atlanta Skin & Aesthetics, LLC | Dermatology | 5671 Peachtree Dunwoody Rd Ste 660, Atlanta, GA 30342-5006 | 2020-07-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
Find all providers in zip 30342 |
Taxonomy Code | 207NS0135X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Procedural Dermatology |
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205138757 | Amanda Eileen Harpring | Dermatology | 3379 Peachtree Rd Ne, Suite 500, Atlanta, GA 30326-1031 | 2010-12-02 |
1073691879 | Shenara Austin Sexton | Dermatology | 2525 Cumberland Pkwy Se, Atlanta, GA 30339-3915 | 2006-11-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326237520 | Larry H Pierce Md PC | Dermatology | 1267 Interstate Pkwy, Augusta, GA 30909-6481 | 2007-10-24 |
1891824108 | Tanda Nichole Lane | Dermatology | 1210 Brookstone Centre Pkwy, Columbus, GA 31904-2954 | 2007-03-04 |
1801959101 | South Fulton Dermatology Associates,llp | Dermatology | 2719 Felton Dr, East Point, GA 30344-3603 | 2006-12-18 |
1295818672 | Robert Mcclure IIi | Dermatology | 5024 Lawrenceville Hwy Nw, Lilburn, GA 30047-4914 | 2006-10-23 |
1952495558 | Larry H. Pierce | Dermatology | 1267 Interstate Pkwy., Augusta, GA 30909 | 2006-10-03 |
1578586400 | Jason L Smith | Dermatology | 103 John Maddox Dr Nw, Rome, GA 30165-1419 | 2006-07-25 |
1023082005 | Abdul Hafeez | Dermatology | 631 Professional Dr Ste 110, Lawrenceville, GA 30046-3367 | 2006-02-15 |
1538396577 | Center for Dermatology, LLC | Dermatology | 631 Professional Dr Ste 110, Lawrenceville, GA 30046-3367 | 2009-06-17 |
1114100377 | Cole Dermatology & Aesthetic Center, P.C. | Dermatology | 3655 Howell Ferry Rd, Ste 400, Duluth, GA 30096-3186 | 2007-12-11 |
1467641381 | Northwest Georgia Dermatology & Skin Surgery Center PC | Dermatology | 103 John Maddox Dr Nw, Rome, GA 30165-1419 | 2007-10-16 |
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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.