Organization Active NPI

Atlanta Dermatology, Vein & Research Center, LLC

Doing business as Hamilton Dermatology, DBA

  • Dermatology Physician
  • Alpharetta, GA
National Provider Identifier
1376584268
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
ATLANTA DERMATOLOGY, VEIN & RESEARCH CENTER, LLC
Doing business as
Hamilton Dermatology, DBA
Practice address
11800 Atlantis PL
Alpharetta, GA 30022-1160
Phone
(770) 360-8881
Fax
(770) 255-2533
NPI assigned
Jun 9, 2006
Last updated
Mar 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Authorized official

Name
Tiffani K. Hamilton, MDNPI 1710931027
Title
Owner
Phone
(770) 360-8881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X Primary
MOHS-Micrographic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ND0101X
Dermatopathology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ND0900X
Procedural Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207NS0135X

Addresses

Primary practice location

11800 Atlantis PL
Alpharetta, GA 30022-1160

Mailing address

11800 Atlantis PL
Alpharetta, GA 30022-1160
Phone (770) 360-8881

Other names 1

  • Hamilton Dermatology, DBA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040414001242 GA Part B Supplier - Clinic/Group Practice 0143214783 Receives reassigned benefits from 2 practitioners
Practice locations: Alpharetta, GA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0987512Atlanta Dermatology Vein & Research Center LLC11800 Atlantis Place, Alpharetta, GA 30022Certificate of waiverJun 30, 2027

National Provider Directory

National Provider Directory

Locations

11800 Atlantis Pl
Alpharetta, GA 30022
Phone (770) 360-8881

4165 Old Milton Pkwy
Ste 150
Alpharetta, GA 30005
Phone (770) 360-8881

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1376584268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 ATLANTIS PL",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221160",
            "telephone_number": "770-360-8881",
            "fax_number": "770-255-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 ATLANTIS PL",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221160",
            "telephone_number": "770-360-8881",
            "fax_number": "770-255-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA DERMATOLOGY, VEIN & RESEARCH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "TIFFANI",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-360-8881",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hamilton Dermatology, DBA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.