DAEC, INC (NPI# 1962767954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962767954 |
| Entity Type | Organization |
| Organization Name | DAEC, INC |
| Other Organization Name | DERMATOLOGY AFFILIATES EAST COBB |
| Practice Address |
4939 Lower Roswell Rd Suite 104a Marietta GA 30068-4338 |
| Mailing Address |
Po Box 52226 Atlanta GA 30355-0226 |
| Practice Telephone | 4048167900 |
| Practice Fax Number | 4048167929 |
| Mailing Telephone | 4048167900 |
| Mailing Fax Number | 4048167929 |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2012-07-06 |
| Authorized Official Name | VIRGINIA RUTLEDGE FORNEY (PRESIDENT/OWNER) |
| Authorized Official Telephone | 4048167900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
Allopathic & Osteopathic Physicians | ||
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Dermatology Affiliates East Cobb | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | DAEC, Inc. | 2744 Greensborough Drive, Littleton, CO 80129 |
| Street Address |
4939 LOWER ROSWELL RD SUITE 104A |
| City | MARIETTA |
| State | GA |
| Zip Code | 30068-4338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003934050 | Ralph S Cohen | Dentist | 4939 Lower Roswell Rd, Marietta, GA 30068-4338 | 2007-03-27 |
| 1083130736 | Hannah R Wineburg | Social Worker | 4939 Lower Roswell Rd, Marietta, GA 30068-4338 | 2017-08-15 |
| 1497271159 | Hwh Psychotherapy Inc. | Social Worker | 4939 Lower Roswell Rd, Marietta, GA 30068-4338 | 2017-08-15 |
| 1467807198 | Jessica Hallberlin | Social Worker | 4939 Lower Roswell Rd, Building C, Suite 201, Marietta, GA 30068-4338 | 2016-05-02 |
| 1548663644 | Parkaire Consultants, Inc. | Social Worker | 4939 Lower Roswell Rd, Suite 201c, Marietta, GA 30068-4338 | 2014-10-02 |
| 1730522038 | Berger Psychological Services, P.C. | Psychologist | 4939 Lower Roswell Rd, Suite B-202, Marietta, GA 30068-4338 | 2013-04-17 |
| 1871861468 | Sara Rachel Deckelbaum | Psychologist | 4939 Lower Roswell Rd, Suite B-202, Marietta, GA 30068-4338 | 2011-12-09 |
| 1487943775 | Stacey Cohen Weitzner | Dentist | 4939 Lower Roswell Rd, Marietta, GA 30068-4338 | 2011-04-07 |
| 1104152453 | Steven Gary Berger | Psychologist | 4939 Lower Roswell Rd, Bldg B - 202, Marietta, GA 30068-4338 | 2009-10-21 |
| 1578704391 | Emily Danielle Venable | Occupational Therapist | 4939 Lower Roswell Rd, Bldg C, Suite 201, Marietta, GA 30068-4338 | 2009-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798917 | Barbara Ann Goldschmidt | Pharmacist | 4088 Lower Roswell Rd, Marietta, GA 30068 | 2020-10-20 |
| 1285274480 | Cory Plasker | Chiropractor | 519b Johnson Ferry Road, Suite 350, Marietta, GA 30068 | 2020-01-15 |
| 1952949893 | Dr Amy L Varner LLC | Internal Medicine | 1000 Johnson Ferry Rd Bldg E Ste 200, Marietta, GA 30068 | 2019-12-11 |
| 1417501834 | Cornerstone Hospice and Palliative Care of Georgia, LLC | Hospice Care, Community Based | 1225 Johnson Ferry Rd., Bldg. 100, Suite 160, Marietta, GA 30068 | 2019-07-25 |
| 1639721038 | Cayla Clark | Behavior Technician | 137 Johnson Ferry Road Suite 2170, Marietta, GA 30068 | 2019-07-15 |
| 1467910828 | 2me Healthcare,llc | Home Health | 2586 Club Valley Drive Ne, Marietta, GA 30068 | 2019-03-05 |
| 1265912604 | Feidy Chiropractic Clinic Inc, Dba Cardwell Chiropractic Clinic | Chiropractor | 1230 Johnson Ferry Pl Ste G30, Marietta, GA 30068 | 2018-08-15 |
| 1225514219 | Audrey Hughes. Lcsw, LLC | Clinic/Center | 1212 Johnson Ferry Rd, Suite 300, Marietta, GA 30068 | 2018-07-13 |
| 1316461379 | Evan King | Registered Nurse | 52 Pioneer Trl, Marietta, GA 30068 | 2017-08-01 |
| 1912431867 | Anthony Izore | Nurse Practitioner | 5163 Tall Oak Drive, Marietta, GA 30068 | 2017-04-18 |
| Find all providers in zip 30068 | ||||
| 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 |
|---|---|---|---|---|
| 1720686058 | Worldwide Medical Healthcare Inc | Dermatology | 790 Church St Ne Ste 300, Marietta, GA 30060-8902 | 2020-10-09 |
| 1346700127 | Gerald Chotiner | Dermatology | 2887 Gant Qtrs. Circle, Marietta, GA 30068-3719 | 2019-03-20 |
| 1790791465 | Debra J Atkins | Dermatology | 1232 Johnson Ferry Rd, Marietta, GA 30068-2776 | 2006-08-01 |
| 1164442562 | Jim D Adkins | Dermatology | 111 Marble Mill Road, Marietta, GA 30060-1047 | 2006-07-20 |
| 1114985108 | Jennifer L Jones | Dermatology | 835 Cogburn Avenue, Suite 100, Marietta, GA 30060-1008 | 2006-05-02 |
| 1790756138 | Mark Alan Chastain | Dermatology | 835 Cogburn Ave Nw, Suite 100, Marietta, GA 30060-1031 | 2006-02-01 |
| 1366428146 | Candance Kimbrough-green | Dermatology | 4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068-4428 | 2005-12-22 |
| 1669462610 | Mitra Mofid | Dermatology | 2550 Windy Hill Road Se, Suite 103, Marietta, GA 30067-8607 | 2005-10-21 |
| 1447851357 | Dermatology and Surgery Specialists of North Atlanta PC | Dermatology | 4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068-4428 | 2020-11-06 |
| 1356861975 | Anissa Mansoori | Dermatology | 141 Lacy St Nw Ste 200, Marietta, GA 30060-1118 | 2017-06-24 |
| Find all providers in MARIETTA | ||||
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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.