Surgical & Cosmetic Dermatology, P. C.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

SURGICAL & COSMETIC DERMATOLOGY, P. C.

Practice address

1615 Highway 34 E Ste B
Newnan, GA 30265

Phone

(770) 400-8400

Fax

(770) 400-8401

NPI assigned

Mar 25, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Daivid Thomas Harvey, M. D

Title

Physician

Phone

(770) 400-8400

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 4

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 Leigh Beattie, N.P.

  • Family Nurse Practitioner
  • Newnan, GA
  • NPI 1811448970
  Medicare reassignment Care Compare group NPD
• Jamie B Raisor, ARNP

  • Nurse Practitioner
  • Lagrange, GA
  • NPI 1235392424
  Medicare reassignment Care Compare group NPD
• David T Harvey, MD

  • MOHS-Micrographic Surgery Physician
  • Newnan, GA
  • NPI 1578526232
  Medicare reassignment Care Compare group
• Angela Ruth Peterman, M.D.

  • Specialist
  • Annapolis, MD
  • NPI 1306814264
  NPD (past)

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1396087680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 HIGHWAY 34 E STE B",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651325",
            "telephone_number": "770-400-8400",
            "fax_number": "770-400-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 HIGHWAY 34 E STE B",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "30265",
            "telephone_number": "770-400-8400",
            "fax_number": "770-400-8401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Oak Hill Blvd",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302652314",
            "country_code": "US",
            "telephone_number": "770-400-8400",
            "fax_number": "770-400-8401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1075 Lafayette Pkwy Ste 240",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "GA",
            "postal_code": "302413734",
            "country_code": "US",
            "telephone_number": "770-400-8400",
            "fax_number": "770-400-8401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Oak Hill Blvd",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302652314",
            "country_code": "US",
            "telephone_number": "770-400-8400",
            "fax_number": "770-400-8401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SURGICAL & COSMETIC DERMATOLOGY, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-25",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "DAIVID",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "770-400-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Summers, PT, DPT
• Summit Endoscopy Center (Summit Endoscopy Center Newnan)
• Summit Healthplex Pharmacy Inc
• Sundance Rehabilitation
• Supportive Care ABA Ga LLC
• Divya Suthar, M.D.
• Anastasia Sutherland
• Kala Jovan Sutton
• Nekeisha Sutton
• David J Swanagan, NP

• MOHS-Micrographic Surgery Physician in Newnan, GA
• Providers in Newnan, GA by specialty
• MOHS-Micrographic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.