Cole Dermatology & Aesthetic Center, P.C.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

030406 Issued in GA

Legal business name

COLE DERMATOLOGY & AESTHETIC CENTER, P.C.

Practice address

3655 Howell Ferry Rd
Ste 400
Duluth, GA 30096-3186

Phone

(678) 417-6900

NPI assigned

Dec 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kendra Ann Cole, M.D.NPI 1952382863

Title

Owner

Phone

(678) 417-6900

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Kendra A Cole, M.D.

  • Specialist
  • Peachtree Corners, GA
  • NPI 1952382863
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1114100377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 HOWELL FERRY RD",
            "address_2": "STE 400",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963186",
            "telephone_number": "678-417-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 HOWELL FERRY RD",
            "address_2": "STE 400",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963186",
            "telephone_number": "678-417-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLE DERMATOLOGY & AESTHETIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-417-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "GA",
            "license": "030406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302056161A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frances Deloma Cochran, CRNA
• Melissa Coddett
• Lester F Cohen, DMD
• Tiffiny B Cohen, PA-C
• Coilistry LLC
• Juakina Cole, OTA
• Lynnsey Kristen Cole
• Jasmine Coley
• Collective Consulting
• Collective Consulting Enterprise

• Procedural Dermatology Physician in Duluth, GA
• Providers in Duluth, GA by specialty
• Procedural Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.