Lumera Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

LUMERA DERMATOLOGY LLC

Practice address

3400 Old Milton Pkwy Ste C370
Alpharetta, GA 30005-3747

Phone

(404) 518-1409

NPI assigned

Jan 30, 2024

Organization subpart

No

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

Authorized official

Name

Anjali S. Vekaria, MDNPI 1205195617

Title

Owner

Phone

(404) 518-1409

Specialties & licenses 1

Addresses

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

Practitioners 1

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

• Anjali S. Vekaria, MD

  • Dermatology Physician
  • Alpharetta, GA
  • NPI 1205195617
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1386407781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 OLD MILTON PKWY STE C370",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053747",
            "telephone_number": "770-609-4741",
            "fax_number": "404-737-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 OLD MILTON PKWY STE C370",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053747",
            "telephone_number": "404-518-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMERA DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "VEKARIA",
        "authorized_official_first_name": "ANJALI",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-518-1409",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minsu Lu, PHARM.D.
• Jeffrey Lance Lubow
• Erin Luckett, AU.D
• Faith Ludwick, PNP
• Joseph Patrick Luke, M.D.
• Lumina Autism Center
• James D Lundy, O.D.
• Jessica Lundy, LPC, RPT, ED.S
• Rebecca Lunsford, PA-C
• Chad R Luth, P.T.

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

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