Dermatology of Athens, P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

06 79164 Issued in GA

Legal business name

DERMATOLOGY OF ATHENS, P.C.

Practice address

2000 Prince Ave
Athens, GA 30606-6016

Phone

(706) 353-8220

Fax

(706) 353-8288

NPI assigned

Sep 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David M Greeson, M.D.NPI 1417951450

Title

President

Phone

(706) 353-8220

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Michael Greeson, MD

  • Dermatology Physician
  • Nashville, TN
  • NPI 1417951450
  NPD Authorized official
• Jonathan Barak Fass, MD

  • Dermatology Physician
  • Greensboro, GA
  • NPI 1104821917
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1023115482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066016",
            "telephone_number": "706-353-8220",
            "fax_number": "706-353-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066016",
            "telephone_number": "706-353-8220",
            "fax_number": "706-353-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY OF ATHENS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "GREESON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-353-8220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "GA",
            "license": "06 79164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300023320A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fiona Noelle Denham, MD
• Bruno Oscar Denis, MD
• Griffin Dalton Dennison
• Dental Sleep Medicine of Ga PC
• Leonard Davey Deramus, P.A.-C
• Dermatology Specialists of Georgia, LLC
• Margi Desai, DO
• Rajiv Dinkar Desai, M.D. OBGYN
• Anne Desmond, FNP
• Anthony John Deutsch, M.D.

• Dermatology Physician in Athens, GA
• Providers in Athens, GA by specialty
• Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.