Brandon Patrick Merrill (NPI# 1285983734, PAC ID# 7810122546) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1285983734 |
| PAC ID by PECOS | 7810122546 |
| Professional Enrollment ID | I20180827000392 |
| Full Name | Brandon Patrick Merrill |
| Organization Legal Name | ATLANTA NORTH DERMATOLOGY AND SKIN CARE, INC. |
| Address |
100 Stoneforest Dr Suite 320 Woodstock GA 30189-4881 |
| Phone Number | 7705165199 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 0648346726 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 100 Stoneforest Dr, Suite 320, Woodstock, GA 30189-4881 | 7705165199 | ATLANTA NORTH DERMATOLOGY AND SKIN CARE, INC. |
| Organization Legal Name | ATLANTA NORTH DERMATOLOGY AND SKIN CARE, INC. |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larissa Ann Chismar | Dermatology | Atlanta North Dermatology and Skin Care, Inc. | 100 Stoneforest Dr, Suite 320, Woodstock, GA 30189-4881 |
| Tomas J Chao | Physician Assistant | Atlanta North Dermatology and Skin Care, Inc. | 100 Stoneforest Dr, Suite 320, Woodstock, GA 30189-4881 |
| Katie B Covington | Physician Assistant | Atlanta North Dermatology and Skin Care, Inc. | 100 Stoneforest Dr, Suite 320, Woodstock, GA 30189-4881 |
| Kimberly Marie Nicholson | Pathology | Atlanta North Dermatology and Skin Care, Inc. | 100 Stoneforest Dr, Suite 320, Woodstock, GA 30189-4881 |
| Jihyun Koo | Dermatology | Atlanta North Dermatology and Skin Care, Inc. | 100 Stoneforest Dr, Suite 320, Woodstock, GA 30189-4881 |
| Street Address |
100 STONEFOREST DR SUITE 320 |
| City | WOODSTOCK |
| State | GA |
| Zip | 30189-4881 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra Roberson | Allergy/immunology | Atlanta Allergy and Asthma, Pa | 100 Stoneforest Dr, Suite 220, Woodstock, GA 30189-4880 |
| Larissa Ann Chismar | Dermatology | Atlanta North Dermatology and Skin Care, Inc. | 100 Stoneforest Dr, Suite 320, Woodstock, GA 30189-4881 |
| Nrup R Tolat | Podiatry | 100 Stoneforest Dr, Suite 120, Woodstock, GA 30189-4881 | |
| Tomas J Chao | Physician Assistant | Atlanta North Dermatology and Skin Care, Inc. | 100 Stoneforest Dr, Suite 320, Woodstock, GA 30189-4881 |
| Katie B Covington | Physician Assistant | Atlanta North Dermatology and Skin Care, Inc. | 100 Stoneforest Dr, Suite 320, Woodstock, GA 30189-4881 |
| Kimberly Marie Nicholson | Pathology | Atlanta North Dermatology and Skin Care, Inc. | 100 Stoneforest Dr, Suite 320, Woodstock, GA 30189-4881 |
| Jihyun Koo | Dermatology | Atlanta North Dermatology and Skin Care, Inc. | 100 Stoneforest Dr, Suite 320, Woodstock, GA 30189-4881 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lili D Gipson | Chiropractic | 715 A Bascomb Comm Pkwy, Woodstock, GA 30189 | |
| Carrie E Tyner | Nurse Practitioner | Minute Clinic LLC | 1600 Towne Lake Pkwy, Woodstock, GA 30189-1585 |
| Paula S Thibault | Nurse Practitioner | Minute Clinic LLC | 1600 Towne Lake Pkwy, Woodstock, GA 30189-1585 |
| Naomi S Morson | Nurse Practitioner | Minute Clinic LLC | 1600 Towne Lake Pkwy, Woodstock, GA 30189-1585 |
| Victoria M Wermers | Nurse Practitioner | Piedmont Professional Services, LLC | 950 Towne Lake Pkwy, Woodstock, GA 30189-1601 |
| Safiah Vafaeian | Nurse Practitioner | Piedmont Professional Services, LLC | 950 Towne Lake Pkwy, Woodstock, GA 30189-1601 |
| Reagan O'connor | Nurse Practitioner | Physician's Express Care At Towne Lake LLC | 900 Towne Lake Pkwy, Suite 104, Woodstock, GA 30189-1603 |
| Anand Shantha | Urology | Georgia Urology, Pa | 900 Towne Lake Pkwy, Suite 200, Woodstock, GA 30189-1603 |
| James M Elmore | Urology | Georgia Urology, Pa | 900 Towne Lake Pkwy, Suite 200, Woodstock, GA 30189-1603 |
| Andrew J Kirsch | Urology | Georgia Urology, Pa | 900 Towne Lake Pkwy, Suite 200, Woodstock, GA 30189-1603 |
| Find all physicians in zip 30189 | |||
| City | WOODSTOCK |
| Zip Code | 30189 |
| Specialty | DERMATOLOGY |
| City + Specialty | WOODSTOCK + 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.