Skin Cancer & Cosmetic Dermatology Center, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SKIN CANCER & COSMETIC DERMATOLOGY CENTER, PC

Practice address

1107 Memorial Dr Ste 201
Dalton, GA 30720-8662

Phone

(706) 277-7311

Fax

(706) 272-3512

NPI assigned

Dec 15, 2006

Last updated

Jan 30, 2024By 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

Ms. Kelley Finnell

Title

Coo

Phone

(423) 521-1100

Specialties & licenses 1

Addresses

Other identifiers 1

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

Interoperability endpoints

• Direct secure messaging: amanda.cook@sccdc.gadirect.net
• Direct secure messaging: amanda.thompson@sccdc.gadirect.net
• Direct secure messaging: anisha.mathi@sccdc.gadirect.net
• Direct secure messaging: ashley.miller@sccdc.gadirect.net
• Direct secure messaging: ashley.thurman@sccdc.gadirect.net
• Direct secure messaging: austin.greenwood@sccdc.gadirect.net
• Direct secure messaging: brian.rafferty@sccdc.gadirect.net
• Direct secure messaging: brittany.ryder@sccdc.gadirect.net
• Direct secure messaging: brittney.viar@sccdc.gadirect.net
• Direct secure messaging: carol.marrs@sccdc.gadirect.net
• Direct secure messaging: chad.shoenmann@sccdc.gadirect.net
• Direct secure messaging: claire.rogers@sccdc.gadirect.net
• Direct secure messaging: douglas.diruggiero@sccdc.gadirect.net
• Direct secure messaging: eli.kim@sccdc.gadirect.net
• Direct secure messaging: emily.jorge@sccdc.gadirect.net
• Direct secure messaging: hollie.gallaher@sccdc.gadirect.net
• Direct secure messaging: jane.clark@sccdc.gadirect.net
• Direct secure messaging: jennifer.wright@sccdc.gadirect.net
• Direct secure messaging: jeremy.micheff@sccdc.gadirect.net
• Direct secure messaging: jodiann.moore@sccdc.gadirect.net

Practitioners 42

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.

• Jessica L Adams, FNP

  • Family Nurse Practitioner
  • Dalton, GA
  • NPI 1285451682
  Medicare reassignment Care Compare group NPD
• Kayla Renee Boggs, FNP-C

  • Nurse Practitioner
  • Blue Ridge, GA
  • NPI 1326811258
  Medicare reassignment Care Compare group NPD
• John Y Chung, MD

  • MOHS-Micrographic Surgery Physician
  • Dalton, GA
  • NPI 1710943709

  Dermatology

  Medicare reassignment Care Compare group NPD
• Jane S. Clark

  • Internal Medicine Physician
  • Dalton, GA
  • NPI 1659530004

  Dermatology

  Medicare reassignment Care Compare group NPD
• Emily A Hall, NP

  • Family Nurse Practitioner
  • Dalton, GA
  • NPI 1326310756
  Medicare reassignment Care Compare group NPD
• Magdalena U Kowalski, MD

  • Dermatology Physician
  • Ringgold, GA
  • NPI 1619952686
  Medicare reassignment Care Compare group NPD
• James Neal Micheff, MSN, FNP-C

  • Nurse Practitioner
  • Dalton, GA
  • NPI 1841703477
  Medicare reassignment Care Compare group NPD
• Shirin Noorani, NP

  • Family Nurse Practitioner
  • Dalton, GA
  • NPI 1568865947
  Medicare reassignment Care Compare group NPD
• Deborah Collins Pietrangelo, FNPC

  • Family Nurse Practitioner
  • Blue Ridge, GA
  • NPI 1083783021
  Medicare reassignment Care Compare group NPD
• Chad Schoenmann, NP-C

  • Family Nurse Practitioner
  • Dalton, GA
  • NPI 1740578863
  Medicare reassignment Care Compare group NPD
• Kisa W Seymore, MD

  • Dermatology Physician
  • Cedartown, GA
  • NPI 1841200375
  Medicare reassignment Care Compare group NPD
• Amanda L Smidt, FNP-C

  • Family Nurse Practitioner
  • Ringgold, GA
  • NPI 1356699169
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1376605394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 BATTLEFIELD CROSSING CT",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307365176",
            "telephone_number": "706-277-7311",
            "fax_number": "706-529-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 MEMORIAL DR STE 201",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208662",
            "telephone_number": "706-277-7311",
            "fax_number": "706-272-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN CANCER & COSMETIC DERMATOLOGY CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "FINNELL",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "423-521-1100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "GRP4446",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiranjit Singh, MD
• Anna Sisson
• Jerry Steve Sisson, RN
• Susan A Sitton, RN
• Sivarama K Meduri MD
• Emily Skipper, ATC
• Sleepmed, Inc
• Smile Center of Dalton LLC
• Ashley Smith
• Benjamin Smith, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.