Kayal Dermatology & Skin Cancer Specialists

Primary specialty

SpecialistTaxonomy code 174400000X

License

042306 Issued in GA

Legal business name

KAYAL DERMATOLOGY & SKIN CANCER SPECIALISTS

Practice address

141 Lacy St NW Ste 200
Marietta, GA 30060-1118

Phone

(770) 426-7177

Fax

(770) 426-7745

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Roger Seaton

Title

Practice Manager

Phone

(770) 426-7177

Specialties & licenses 1

Addresses

Other names 1

• KAYAL DERMATOLOGY AND SKIN CANCER SPECIALISTS Other name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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 9

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

• John David Kayal, M.D.

  • MOHS-Micrographic Surgery Physician
  • Marietta, GA
  • NPI 1366409880
  Medicare reassignment
• Sidney Adele Brown-Caggiano, PA-C, MPAS

  • Dermatology Physician
  • Douglasville, GA
  • NPI 1154890564
  NPD (past)
• Shivani Dhir, PA-C

  • Physician Assistant
  • Atlanta, GA
  • NPI 1801580980

  Single Specialty

  NPD (past)
• Joel B. Kazinec, PA-C, MMSC

  • Physician Assistant
  • Marietta, GA
  • NPI 1649779398
  NPD (past)
• Julia Beadles Miller, PA-C

  • Medical Physician Assistant
  • Roswell, GA
  • NPI 1194049759
  NPD (past)
• Elena Lorraine Nava, MMS, PA-C

  • Physician Assistant
  • Marietta, GA
  • NPI 1871003509
  NPD (past)
• Annmarie Skelton, PA-C

  • Physician Assistant
  • Marietta, GA
  • NPI 1891245163
  NPD (past)
• Anissa Mansoori, PA-C

  • Physician Assistant
  • Mission Viejo, CA
  • NPI 1356861975
  NPD (past)
• Denton Mow, PA-C

  • Physician Assistant
  • Troutman, NC
  • NPI 1568972123
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1235358441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 LACY ST NW STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601118",
            "telephone_number": "770-426-7177",
            "fax_number": "770-426-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 LACY ST NW STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601118",
            "telephone_number": "770-426-7177",
            "fax_number": "770-426-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYAL DERMATOLOGY & SKIN CANCER SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "SEATON",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "770-426-7177"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "042306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KAYAL DERMATOLOGY AND SKIN CANCER SPECIALISTS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Manreet Kaur
• Dorsa Kaviani, DMD
• Kavreet Ritu Bath DMD LLC
• Khezia Kawaya-Okitondo, MD, MPH
• Kenneth E. Kay, D.M.D
• John David Kayal, M.D.
• Jason N Kaye, DC
• Kays Homecare Services, Inc.
• Joel B. Kazinec, PA-C, MMSC
• Ana Paola Kazlauskas, PA-C

• Specialist in Marietta, GA
• Providers in Marietta, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.