AUGUSTA WEST DERMATOLOGY, LLC (NPI# 1801272968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801272968 |
Entity Type | Organization |
Organization Name | AUGUSTA WEST DERMATOLOGY, LLC |
Practice Address |
3624 J Dewey Gray Cir Suite 250 Augusta GA 30909-6584 |
Practice Telephone | 7069227706 |
Practice Fax Number | 7069227999 |
Enumeration Date | 2015-07-30 |
Last Update Date | 2019-02-27 |
Authorized Official Name | JEREMIAH MILLER (MANAGING MEMBER) |
Authorized Official Telephone | 7069227706 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | 73843 | GA | Allopathic & Osteopathic Physicians |
Street Address |
3624 J DEWEY GRAY CIR SUITE 250 |
City | AUGUSTA |
State | GA |
Zip Code | 30909-6584 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649278219 | John Paul Carr | Family Medicine | 3624 J Dewey Gray Cir, Suite 308, Augusta, GA 30909-6584 | 2005-07-08 |
1134374655 | Amber Jordan Morris | Physician Assistant | 3624 J Dewey Gray Cir, Suite 103, Augusta, GA 30909-6584 | 2008-11-25 |
1942454863 | Augusta Women's Health and Wellness Center | Specialist | 3624 J Dewey Gray Cir, Suite 240, Augusta, GA 30909-6584 | 2008-11-05 |
1952565210 | Augusta Primary Care Services LLC | Internal Medicine | 3624 J Dewey Gray Cir, Suite 308, Augusta, GA 30909-6584 | 2008-07-16 |
1811175474 | Augusta Primary Care Services, LLC | Internal Medicine | 3624 J Dewey Gray Cir, Suite 308, Augusta, GA 30909-6584 | 2008-02-06 |
1831212919 | Amy Beth Shoemaker | Specialist/Technologist | 3624 J Dewey Gray Cir, Suite 308, Augusta, GA 30909-6584 | 2007-04-06 |
1508928367 | Arnold Ray Christopher | Preventive Medicine | 3624 J Dewey Gray Cir, Suite 110, Augusta, GA 30909-6584 | 2006-12-15 |
1134228885 | Philip William Catalano | Specialist | 3624 J Dewey Gray Cir, Suite 301, Augusta, GA 30909-6584 | 2006-09-21 |
1194837559 | Daniel E Welch | Specialist/Technologist | 3624 J Dewey Gray Cir, Suite 302, Augusta, GA 30909-6584 | 2006-08-31 |
1972617744 | Havon Knight | Internal Medicine | 3624 J Dewey Gray Cir, Suite 308, Augusta, GA 30909-6584 | 2006-08-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
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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 |
---|---|---|---|---|
1134568520 | Matthew Dean Belcher | Dermatology | 1120 15th St Fl 5, Augusta, GA 30912 | 2013-06-18 |
1073822607 | Edward Hardin Smith Jr. | Dermatology | 514 Winchester Dr, Augusta, GA 30909-3236 | 2010-09-30 |
1093972325 | Jeremiah Allan Miller IIi | Dermatology | 3624 J. Dewey Gray Circle, Suite 250, Augusta West Dermatology, Augusta, GA 30909 | 2008-05-22 |
1225235393 | Sarah Josephson Cely | Dermatology | 820 Saint Sebastian Way Ste 6c, Augusta, GA 30901-2640 | 2007-07-02 |
1649349978 | Augusta Dermatology Associates PC | Dermatology | 820 St Sebastian Way Ste 6c, Augusta, GA 30901 | 2006-11-08 |
1215923073 | Barry L Thompson | Dermatology | 2060 Central Ave, Augusta, GA 30904-4177 | 2005-09-26 |
1437142072 | Fred Jason Kight | Dermatology | 1248 Augusta West Pkwy, Augusta, GA 30909-1854 | 2005-08-30 |
1720516560 | James Petit | Dermatology | 1004 Chafee Ave, Augusta, GA 30904 | 2017-05-24 |
1427431048 | Rachel Marks Greenwood | Dermatology | 950 15th St, Augusta, GA 30901-2608 | 2015-07-01 |
1356738199 | Mario Maruthur | Dermatology | 1120 15th St, Augusta, GA 30912-1059 | 2015-04-20 |
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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.