Organization Active NPI

Shenara Austin Sexton, MD, LLC

Doing business as Sexton Dermatology

  • Dermatology Physician
  • Watkinsville, GA
National Provider Identifier
1396937538
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
053161 Issued in GA
Legal business name
SHENARA AUSTIN SEXTON, MD, LLC
Doing business as
Sexton Dermatology
Practice address
1181 Langford Dr
BLDG. 300, Suite 103
Watkinsville, GA 30677
Phone
(706) 552-1226
Fax
(706) 552-1227
NPI assigned
Aug 13, 2007
Last updated
Aug 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Authorized official

Name
Dr. Shenara Austin Sexton, M.D.
Title
Owner/President
Phone
(706) 552-1226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 053161 GA Primary

Addresses

Primary practice location

1181 Langford Dr
BLDG. 300, Suite 103
Watkinsville, GA 30677

Mailing address

1181 Langford Dr
BLDG. 300, Suite 103
Watkinsville, GA 30677
Phone (706) 552-1226

Other names 1

  • Sexton Dermatology Doing business as

National Provider Directory

National Provider Directory

Locations

455 Epps Bridge Pkwy
Ste 102
Athens, GA 30606
Phone (706) 552-1226

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1396937538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 LANGFORD DR",
            "address_2": "BLDG. 300, SUITE 103",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "30677",
            "telephone_number": "706-552-1226",
            "fax_number": "706-552-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 LANGFORD DR",
            "address_2": "BLDG. 300, SUITE 103",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "30677",
            "telephone_number": "706-552-1226",
            "fax_number": "706-552-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENARA AUSTIN SEXTON, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "SEXTON",
        "authorized_official_first_name": "SHENARA",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "706-552-1226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "GA",
            "license": "053161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sexton Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Watkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.