Joseph T Overton Jr. (NPI# 1346359296, PAC ID# 1355389552) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
Nation Provider ID (NPI) | 1346359296 |
PAC ID by PECOS | 1355389552 |
Professional Enrollment ID | I20120207000763 |
Full Name | Joseph T Overton Jr. |
Organization Legal Name | THE DERM CENTER OF NEWTON |
Address |
4155 Baker St Ne Suite 100 Covington GA 30014-1405 |
Phone Number | 7707880620 |
Gender | M |
Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1998 |
Primary Specialty | DERMATOLOGY |
Group Practice PAC ID | 7810935012 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110018 | PIEDMONT NEWTON HOSPITAL |
Address | Phone | Organization |
---|---|---|
4155 Baker St Ne, Suite 100, Covington, GA 30014-1405 | 7707880620 | THE DERM CENTER OF NEWTON |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
Organization Legal Name | THE DERM CENTER OF NEWTON |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ashley E Heath | Physician Assistant | The Derm Center of Newton | 4155 Baker St Ne, Suite 100, Covington, GA 30014-1405 |
Shiara C Vassian | Physician Assistant | The Derm Center of Newton | 4155 Baker St Ne, Suite 100, Covington, GA 30014-1405 |
Lucinda C. Faulkner | Nurse Practitioner | The Derm Center of Newton | 4155 Baker St Ne, Suite 100, Covington, GA 30014-1405 |
Street Address |
4155 BAKER ST NE SUITE 100 |
City | COVINGTON |
State | GA |
Zip | 30014-1405 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ashley E Heath | Physician Assistant | The Derm Center of Newton | 4155 Baker St Ne, Suite 100, Covington, GA 30014-1405 |
Shiara C Vassian | Physician Assistant | The Derm Center of Newton | 4155 Baker St Ne, Suite 100, Covington, GA 30014-1405 |
Lucinda C. Faulkner | Nurse Practitioner | The Derm Center of Newton | 4155 Baker St Ne, Suite 100, Covington, GA 30014-1405 |
Name | Specialty | Organization | Address |
---|---|---|---|
Maureen F Vidrine | Certified Clinical Nurse Specialist (cns) | 10385 Hwy 278 E, Covington, GA 30014 | |
Anil J Desai | Internal Medicine | 4139 Baker St, Suite 900, Covington, GA 30014-1409 | |
Gia E Johnson | Psychiatry | View Point Health | 8201 Hazelbrand Rd Ne, Covington, GA 30014-1510 |
Margaret Martin | Clinical Social Worker | View Point Health | 8201 Hazelbrand Rd Ne, Covington, GA 30014-1510 |
Dionne L Jenkins | Clinical Social Worker | View Point Health | 8201 Hazelbrand Rd Ne, Covington, GA 30014-1510 |
Monica Osayi | Nurse Practitioner | View Point Health | 8201 Hazelbrand Rd Ne, Covington, GA 30014-1510 |
Syreeta Steele | Nurse Practitioner | View Point Health | 8201 Hazelbrand Rd Ne, Covington, GA 30014-1510 |
Latoya Lenae Skinner | Clinical Social Worker | View Point Health | 8201 Hazelbrand Rd Ne, Covington, GA 30014-1510 |
Bradley Glenn Jacoby | Ophthalmology | 7170 Hwy 278 Ne B, Covington, GA 30014-1529 | |
David Dheurle | Ophthalmology | 7170 Hwy 278 Ne B, Covington, GA 30014-1529 | |
Find all physicians in zip 30014 |
City | COVINGTON |
Zip Code | 30014 |
Specialty | DERMATOLOGY |
City + Specialty | COVINGTON + DERMATOLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.