NPIMap

Organization Active NPI

Complexions Medical Aesthetics, LLC

Doing business as complexions atlanta

  • Clinic/Center
  • Dunwoody, GA
National Provider Identifier
1346650421
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
COMPLEXIONS MEDICAL AESTHETICS, LLC
Doing business as
complexions atlanta
Practice address
4705 Ashford Dunwoody Rd Ste a
Suite 14
Dunwoody, GA 30338-5566
Phone
(770) 727-5461
NPI assigned
Apr 29, 2014
Last updated
Apr 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Authorized official

Name
Stephanie Knox Norman, APRN
Title
Nurse Practitioner
Phone
(770) 727-5461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X GA Primary

Addresses

Primary practice location

4705 Ashford Dunwoody Rd Ste a
Suite 14
Dunwoody, GA 30338-5566

Mailing address

4170 Oak Tree CT
Suite 6
Atlanta, GA 30344-7033
Phone (770) 727-5461

Other names 1

  • complexions atlanta Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1346650421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 OAK TREE CT",
            "address_2": "SUITE 6",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303447033",
            "telephone_number": "770-727-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 ASHFORD DUNWOODY RD STE A",
            "address_2": "SUITE 14",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303385566",
            "telephone_number": "770-727-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLEXIONS MEDICAL AESTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "KNOX NORMAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "770-727-5461",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "complexions atlanta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.