Organization Active NPI

Bakotic Pathology Associates, LLC

Doing business as Cutis Diagnostics

  • Dermatopathology (Pathology) Physician
  • Alpharetta, GA
National Provider Identifier
1396243630
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
Legal business name
BAKOTIC PATHOLOGY ASSOCIATES, LLC
Doing business as
Cutis Diagnostics
Practice address
6240 Shiloh Rd
Alpharetta, GA 30005-8347
Phone
(855) 245-2256
Fax
(770) 292-9331
NPI assigned
Jan 31, 2018
Last updated
Jan 31, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
BAKOTIC PATHOLOGY ASSOCIATES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Authorized official

Name
Scott Bakotic
Title
Cfo
Phone
(678) 965-2822

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X
Dermatopathology (Pathology) Physician 207ZD0900X Primary

Addresses

Primary practice location

6240 Shiloh Rd
Alpharetta, GA 30005-8347

Mailing address

6240 Shiloh Rd
Alpharetta, GA 30005-8347
Phone (855) 245-2256

Other names 1

  • CUTIS DIAGNOSTICS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bakotic Pathology Assoc3 organizations share this tax ID, including this one
Part of
Bakotic Pathology Assoc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1396243630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 SHILOH RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300058347",
            "telephone_number": "855-245-2256",
            "fax_number": "770-292-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 SHILOH RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300058347",
            "telephone_number": "855-245-2256",
            "fax_number": "770-292-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKOTIC PATHOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAKOTIC PATHOLOGY ASSOCIATES, LLC",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "BAKOTIC",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "678-965-2822"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CUTIS DIAGNOSTICS",
            "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 Jan 31, 2018; 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.