Dermdoc Atlanta

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMDOC ATLANTA

Practice address

4150 Snapfinger Woods Dr Ste 210
Decatur, GA 30035-3417

Phone

(678) 480-8900

NPI assigned

Apr 20, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Florence Humphrey, M.D.NPI 1871651182

Title

Owner

Phone

(678) 480-8900

Specialties & licenses 1

Addresses

Other names 1

• DermDoc Atlanta, LLC. Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

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

• Florence M Humphrey, MD

  • Dermatology Physician
  • Jonesboro, GA
  • NPI 1871651182
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1164919403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 SNAPFINGER WOODS DR STE 210",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300353417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 SNAPFINGER WOODS DR STE 210",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300353417",
            "telephone_number": "678-480-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMDOC ATLANTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "HUMPHREY",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-480-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DermDoc Atlanta, LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Department of Veterans Affair
• Department of Veterans Affairs
• Department of Veterans Affairs Medical Center
• Kimberly Marie Deramus Lareau, LPC
• Dermatology Associates of Georgia, LLC
• Dermpath and Derm Consultants
• Sarah Elizabeth Derossett, M.D., PHD.
• Frehiwot Derso, RN
• Tatyana Dervil, DPM
• Dana Derzhay

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.