North Georgia Dermatopathology PC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

11D0645784 Issued in GA

Legal business name

NORTH GEORGIA DERMATOPATHOLOGY PC

Practice address

945 Church Street Ext NE Ste B
Marietta, GA 30060-7293

Phone

(770) 426-0827

Fax

(770) 426-9534

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Lindsay Catherine Jerdan

Title

Business Manager

Phone

(770) 426-0827

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Myles Sidney Jerdan, MEDICAL DOCTOR

  • Dermatology Physician
  • Lagrange, GA
  • NPI 1770549701
  NPD
• Hemella L. Sweatt, MD

  • Dermatopathology (Pathology) Physician
  • Cincinnati, OH
  • NPI 1134105588
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293667200000",
    "number": "1134217342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162406",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303212406",
            "telephone_number": "770-426-0827",
            "fax_number": "770-426-9534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 CHURCH STREET EXT NE STE B",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607293",
            "telephone_number": "770-426-0827",
            "fax_number": "770-426-9534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GEORGIA DERMATOPATHOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-12-30",
        "status": "A",
        "authorized_official_last_name": "JERDAN",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "770-426-0827",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "11D0645784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52023957",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "434544295A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J J Norris, DO
• Katherine Norrod, LCSW
• North Atlanta Spine and Pain Care, LLC
• North Atlanta Women'S Specialists 2 LLC
• North Fulton Medical Consultants
• North Georgia Healthcare Partners LLC
• North Georgia Kidney Specialists, LLC
• North Georgia Radiation Therapy
• North Oncology Institute, Corp.
• Kenneth Jay North, D.C.

• Clinical Medical Laboratory in Marietta, GA
• Providers in Marietta, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; 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.