Dalton Dermatology & Day Spa, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

065349 Issued in GA

Legal business name

DALTON DERMATOLOGY & DAY SPA, LLC

Practice address

1108 Professional Blvd
Dalton, GA 30720-2588

Phone

(706) 226-3311

NPI assigned

Jun 11, 2013

Last updated

Jun 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mary E. Cole, M.D.NPI 1821292301

Title

Owner/M.D.

Phone

(706) 226-3311

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Elizabeth Cole, MD

  • Dermatology Physician
  • Dalton, GA
  • NPI 1821292301
  Medicare reassignment Care Compare group NPD Authorized official
• Nathan Jerome Cleaver, DO

  • Dermatology Physician
  • Cumming, GA
  • NPI 1871882225
  Medicare reassignment Care Compare group NPD
• Matthew V Myers, PA-C

  • Physician Assistant
  • Cumming, GA
  • NPI 1053065896
  Medicare reassignment Care Compare group
• Amber Nicole Dean, PA

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1265639785

  GA

  Medicare reassignment
• Annalee Houston Snyder, DNP-FNP

  • Family Nurse Practitioner
  • Dalton, GA
  • NPI 1487269130
  NPD
• Erin Leonard Herndon

  • Physician Assistant
  • Dalton, GA
  • NPI 1528823168
  NPD (past)
• Tammie G Lee, M.D.

  • Pain Medicine Physician
  • Dawsonville, GA
  • NPI 1285845958
  NPD (past)
• Jordan Nix Ralston, P.A.-C

  • Dermatology Physician
  • Dalton, GA
  • NPI 1730624255
  NPD (past)
• Elizabeth M Stropnicky, M.D.

  • Obstetrics & Gynecology Physician
  • Dalton, GA
  • NPI 1811933393
  NPD (past)
• Jeffrey Robert Ward, M.D.

  • Obstetrics & Gynecology Physician
  • Gainesville, GA
  • NPI 1366476814
  NPD (past)
• Erin Elizabeth Curran, PA-C

  • Physician Assistant
  • Madison, MS
  • NPI 1942891395
  NPD (past)
• James Douglas Harbin, M.D.

  • Obstetrics & Gynecology Physician
  • Washington, NC
  • NPI 1538193016
  NPD (past)

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1033557160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 PROFESSIONAL BLVD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202588",
            "telephone_number": "706-226-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 PROFESSIONAL BLVD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202588",
            "telephone_number": "706-226-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALTON DERMATOLOGY & DAY SPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/M.D.",
        "authorized_official_telephone_number": "706-226-3311",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "065349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracey R Dailey
• Dalton Cardiology
• Dalton Cardiology, P.C.
• Dalton Counseling Service, Inc.
• Dalton Dental Services, Inc
• Dalton Ear Nose & Throat Associates
• Dalton Ear Nose & Throat Associates (Filter... Northwest Georgia ENT Surgery Center)
• Dalton Eye Center, LLC
• Dalton Family Dentistry, P.C.
• Dalton Family Practice, P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.