Active NPI
Medical Services of Northern Georgia, Inc.
- Dermatology Physician
- Atlanta, GA
National Provider Identifier
1063668762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- MEDICAL SERVICES OF NORTHERN GEORGIA, INC.
- Practice address
- 4060 Peachtree Rd NE
#D284
Atlanta, GA 30319-3020 - Phone
- (478) 328-0281
- NPI assigned
- Aug 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David H Lawson, MD
- Title
- Owner
- Phone
- (478) 328-0438
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary | ||
| MOHS-Micrographic Surgery Physician | 207ND0101X | |||
| Dermatopathology Physician | 207ND0900X | |||
| Clinical & Laboratory Dermatological Immunology Physician | 207NI0002X | |||
| Pediatric Dermatology Physician | 207NP0225X | |||
| Procedural Dermatology Physician | 207NS0135X | |||
| Family Medicine Physician | 207Q00000X | |||
| Dermatopathology (Pathology) Physician | 207ZD0900X |
Addresses
Primary practice location
4060 Peachtree Rd NE
#D284
Atlanta, GA 30319-3020
Mailing address
PO Box 105603 #18760
Atlanta, GA 30348-5603
Phone (478) 328-0281
National Provider Directory
National Provider DirectoryLocations
4060 Peachtree Rd NE
#D284
Brookhaven, GA 30319
Phone (478) 328-0281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229990400000",
"number": "1063668762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 105603 #18760",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303485603",
"telephone_number": "478-328-0281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 PEACHTREE RD NE",
"address_2": "#D284",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303193020",
"telephone_number": "478-328-0281"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL SERVICES OF NORTHERN GEORGIA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-13",
"last_updated": "2008-12-23",
"status": "A",
"authorized_official_last_name": "LAWSON",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "478-328-0438",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Dermatopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207NI0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207NP0225X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Pediatric Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Dermatopathology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.