Georgia Dermatopathology Associates

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

145104 Issued in GA

Legal business name

GEORGIA DERMATOPATHOLOGY ASSOCIATES

Practice address

1610 Lavista Rd NE Ste 4
Atlanta, GA 30329-4316

Phone

(404) 371-0077

Fax

(404) 371-1900

NPI assigned

Jun 23, 2005

Last updated

May 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Scott Howard IV, MDNPI 1033115902

Title

President

Phone

(404) 371-0077

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Scott Howard, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Atlanta, GA
  • NPI 1033115902
  Authorized official Same address or phone

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1235135252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 265",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477020265",
            "telephone_number": "812-471-1591",
            "fax_number": "812-471-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 LAVISTA RD NE STE 4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303294316",
            "telephone_number": "404-371-0077",
            "fax_number": "404-371-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA DERMATOPATHOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-371-0077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "145104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Atlanta, GA
• Providers in Atlanta, 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 May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.