Alvin H. Clair, M.D.P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

012152 Issued in GA

Legal business name

ALVIN H. CLAIR, M.D.P.C.

Practice address

777 Cleveland Ave.,SW Ste.500
Atlanta, GA 30315

Phone

(404) 763-3506

Fax

(404) 763-4076

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Cindy Brown Tarpley

Title

Admin.Asst.

Phone

(404) 763-3506

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104043967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CLEVELAND AVE.,SW STE.500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30315",
            "telephone_number": "404-763-3506",
            "fax_number": "404-763-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CLEVELAND AVE.,SW STE.500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30315",
            "telephone_number": "404-763-3506",
            "fax_number": "404-763-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVIN H. CLAIR, M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TARPLEY",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "BROWN",
        "authorized_official_title_or_position": "ADMIN.ASST.",
        "authorized_official_telephone_number": "404-763-3506",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "GA",
            "license": "012152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00171652B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Atlanta, GA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.