Atlanta Skin & Aesthetics, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ATLANTA SKIN & AESTHETICS, LLC

Practice address

1100 Johnson Ferry Rd Ste 465
Atlanta, GA 30342-1709

Phone

(404) 252-4110

Fax

(404) 252-2188

NPI assigned

Jul 13, 2020

Organization subpart

No

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

Authorized official

Name

Richard Edgar Nix Jr.

Title

Business Manager

Phone

(770) 999-0123

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jay A Levin, MD

  • Dermatology Physician
  • Atlanta, GA
  • NPI 1467406082
  NPD

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1306464698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON FERRY RD STE 465",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421709",
            "telephone_number": "404-252-4110",
            "fax_number": "404-252-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON FERRY RD STE 465",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421709",
            "telephone_number": "404-252-4110",
            "fax_number": "404-252-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA SKIN & AESTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "NIX",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "EDGAR",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "770-999-0123",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atlanta Recovery Place
• Atlanta Regional Commission
• Atlanta Relationship Institute
• Atlanta Reset Therapy
• Atlanta Retina PC
• Atlanta Skin and Aesthetics
• Atlanta Skin Wellness Center LLC
• Atlanta Sleep Medicine Clinic, LLC
• Atlanta Smiles & Wellness LLC
• Atlanta Southeast Center for Epilepsy & Neurodevelopment, PC

• 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 Sep 25, 2024; 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.