Athens Dublin Area Dermatology, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

030351 Issued in GA

Legal business name

ATHENS DUBLIN AREA DERMATOLOGY, PC

Practice address

950 Prince Ave
Athens, GA 30606-2726

Phone

(706) 369-7546

Fax

(706) 369-6788

NPI assigned

Aug 11, 2008

Organization subpart

No

Name

Mrs. Lisa A Pasley

Title

Office Manager

Phone

(706) 369-7546

Locations

• Athens Area Dermatology Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 11, 2008.

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1124274162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 168",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306030168",
            "telephone_number": "706-369-7546",
            "fax_number": "706-369-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062726",
            "telephone_number": "706-369-7546",
            "fax_number": "706-369-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS DUBLIN AREA DERMATOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "PASLEY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-369-7546",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "GA",
            "license": "030351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000369872G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athens Area Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Athens Counseling & Psychotherapy, LLC
• Athens Custom Meds Inc
• Athens Dentistry for Children
• Athens Diabetes and Endocrinology
• Athens Discount Drugs Inc
• Athens Endoscopy, LLC
• Athens Eye Care LLC
• Athens Eye Consultants LLC
• Athens Eye Surgery Center,LLC
• Athens Family Foot Care

• All providers in Athens, GA
• Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.