Gwinnett Dermatology PC D/B/a Georgia Dermatology Partners

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

GWINNETT DERMATOLOGY PC D/B/A GEORGIA DERMATOLOGY PARTNERS

Practice address

2383 Pate St N
Snellville, GA 30078-3250

Phone

(770) 972-4845

Fax

(770) 972-0358

NPI assigned

Jun 13, 2006

Last updated

Sep 20, 2019By 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

Brenda Rann

Title

Credential

Phone

(770) 972-4845

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 55

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.

• Alia Sampson Brown, M.D.

  • Dermatology Physician
  • Snellville, GA
  • NPI 1679613871
  Medicare reassignment Care Compare group NPD
• Catherine Ann Carlson

  • Physician Assistant
  • Gainesville, GA
  • NPI 1346656980
  Medicare reassignment Care Compare group NPD
• Brittany Dupree, NP-C

  • Dermatology Physician
  • Snellville, GA
  • NPI 1902382997
  Medicare reassignment Care Compare group NPD
• Jeffrey Thomas Gardner II

  • Dermatology Physician
  • Snellville, GA
  • NPI 1366901324

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Sion Ward Jasmine, MD

  • Dermatology Physician
  • Snellville, GA
  • NPI 1023512852
  Medicare reassignment Care Compare group NPD
• Elise Danielle Martin, MD

  • Dermatology Physician
  • Snellville, GA
  • NPI 1659864999
  Medicare reassignment Care Compare group NPD
• Jessica J. Mercer, M.D.

  • Dermatology Physician
  • Snellville, GA
  • NPI 1417118886
  Medicare reassignment Care Compare group NPD
• Cindy Nguyen-Hoang

  • Family Nurse Practitioner
  • Snellville, GA
  • NPI 1366233256
  Medicare reassignment Care Compare group NPD
• Kenny Rey Padron, FNP

  • Family Nurse Practitioner
  • Atlanta, GA
  • NPI 1205537446
  Medicare reassignment Care Compare group NPD
• Kirk D Saddler, MD

  • Dermatology Physician
  • Snellville, GA
  • NPI 1013936178
  Medicare reassignment Care Compare group NPD
• Jonathan S Weiss, MD

  • Dermatology Physician
  • Snellville, GA
  • NPI 1619913712
  Medicare reassignment Care Compare group NPD
• Keith D Wright, MD

  • MOHS-Micrographic Surgery Physician
  • Snellville, GA
  • NPI 1649214537

  Dermatology

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1477596203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2383 PATE ST N",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783250",
            "telephone_number": "770-972-4845",
            "fax_number": "770-972-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2383 PATE ST N",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783250",
            "telephone_number": "770-972-4845",
            "fax_number": "770-972-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWINNETT DERMATOLOGY PC D/B/A GEORGIA DERMATOLOGY PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "RANN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "CREDENTIAL",
        "authorized_official_telephone_number": "770-972-4845"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwinnett Care at Home LLC
• Gwinnett Center for Outpatient Surgery LP
• Gwinnett Clinic, LTD
• Gwinnett Convenient Care LLC
• Gwinnett County Health Dept (Centerville Health Department)
• Gwinnett Family Medical Care
• Gwinnett Gynecology Assoc 2 LLC
• Gwinnett Gynecology Associates, PC
• Gwinnett Nephrology LLC
• Gwinnett OB GYN Assoc. 2 LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.