Paulding Dermatology

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

PAULDING DERMATOLOGY

Practice address

625 W Memorial Dr
Dallas, GA 30132-4120

Phone

(678) 363-3343

Fax

(678) 363-3380

NPI assigned

Mar 13, 2007

Last updated

Aug 22, 2020By 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

Lara Lemley

Title

Office Manager

Phone

(678) 363-3343

Specialties & licenses 1

Addresses

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.

• Jennifer L Jones, M.D.

  • Dermatology Physician
  • Marietta, GA
  • NPI 1114985108
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356474035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W MEMORIAL DR",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301324120",
            "telephone_number": "678-363-3343",
            "fax_number": "678-363-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W MEMORIAL DR",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301324120",
            "telephone_number": "678-363-3343",
            "fax_number": "678-363-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULDING DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEMLEY",
        "authorized_official_first_name": "LARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "678-363-3343"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paulding Anesthesia Associates, PC
• Paulding Auto Sales
• Paulding County Board of Education
• Paulding County Board of Health (Paulding County Health Department)
• Paulding County Chiropractic
• Paulding Enterprises, Inc.
• Paulding Medical Center (WellStar Pharmacy Network Store #4)
• Paulding Medical Center, Inc. (WellStar Paulding Nursing Center)
• Peaceful Path Counseling, LLC
• Pediatric Dental Specialist of Acworth

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.