Atlanta Dermatology & Aesthetics PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

059337 Issued in GA

Legal business name

ATLANTA DERMATOLOGY & AESTHETICS PC

Practice address

232 19TH St NW
Suite 7230
Atlanta, GA 30363-1130

Phone

(404) 873-1795

NPI assigned

Feb 15, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Sumayah Taliaferro, MDNPI 1467658393

Title

Physician Owner

Phone

(404) 873-1795

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

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

• Sumayah Jamila Taliaferro, MD

  • Dermatology Physician
  • Atlanta, GA
  • NPI 1467658393
  Medicare reassignment NPD Authorized official
• Gloria Campbell-D'Hue, MD

  • Dermatology Physician
  • Atlanta, GA
  • NPI 1669651766
  NPD (past)
• Kimberly Weaver, PA-C

  • Physician Assistant
  • Atlanta, GA
  • NPI 1164615472
  NPD (past)

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

{
    "created_epoch": "1423958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1154712958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79343",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303577343",
            "telephone_number": "404-873-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 19TH ST NW",
            "address_2": "SUITE 7230",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303631130",
            "telephone_number": "404-873-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA DERMATOLOGY & AESTHETICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-15",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "TALIAFERRO",
        "authorized_official_first_name": "SUMAYAH",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "404-873-1795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "GA",
            "license": "059337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.