Dermatology and Aesthetic Institute

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

DERMATOLOGY AND AESTHETIC INSTITUTE

Practice address

7330 Perkins Road
Baton Rouge, LA 70808-4325

Phone

(225) 769-3376

NPI assigned

May 3, 2007

Last updated

Mar 5, 2014By 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

Dr. Donna G Nunnally, M.D.NPI 1306867080

Title

Owner

Phone

(225) 769-3376

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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 2

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.

• Donna Nunnally, MD

  • Dermatology Physician
  • Baton Rouge, LA
  • NPI 1306867080
  Medicare reassignment Care Compare group Authorized official
• Amy Tycer Smith, PA

  • Physician Assistant
  • Baton Rouge, LA
  • NPI 1336378678
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393977600000",
    "number": "1437371820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82429",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708842429",
            "telephone_number": "225-769-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 PERKINS ROAD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084325",
            "telephone_number": "225-769-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY AND AESTHETIC INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2014-03-05",
        "status": "A",
        "authorized_official_last_name": "NUNNALLY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-769-3376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Deporter, RPH
• Gregory Depron
• Taylor Deranger, LMSW
• Erin Wheeler Derbigny, MD
• Derma LLC (Derma)
• Dermatology Clinic a Professional Medical Corporation
• Peiton Derogers
• Lynda Marie Derosin
• Tevarious M Derosin
• Elton Derouen II

• Medical Specialty Clinic/Center in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Medical Specialty Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.