Individual provider Active NPI

Tiffany Latrice Clay-Ramsey, MD

  • Dermatology Physician
  • Marietta, GA
National Provider Identifier
1508152232
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
74484 Issued in GA
Practice address
4939 Lower Roswell Rd Ste 104a
Marietta, GA 30068-4382
Phone
(404) 816-7900
Fax
(404) 816-7929
NPI assigned
Jun 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 74484 GA Primary

Addresses

Primary practice location

4939 Lower Roswell Rd Ste 104a
Marietta, GA 30068-4382

Mailing address

4939 Lower Roswell Rd Ste 104a
Marietta, GA 30068-4382
Phone (404) 816-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150819009570 GA Practitioner - Dermatology 1951616929 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Meharry Medical College School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology of Georgia, LLCGroup PAC ID 6800798182, 22 clinicians

Practice addresses (Care Compare)

710 Newnan Crossing Byp
Suite 100
Newnan, GA 30263-2384
Phone (770) 251-5111

Merit-based Incentive Payment System (MIPS)

Final score
93.2 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.74 of 100Reported as group
Quality
83.29
Promoting interoperability
100
Improvement activities
40
Cost
79.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision19
Removal of skin lesions314
Removal or shaving of skin growth1-10
Skin biopsy83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
74484GAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Affiliates, LLC CurrentSince Aug 1, 2015 Accepting new patients
Epiphany Dermatology of Georgia, LLC Dermatology CurrentSince Feb 1, 2024 Accepting new patients
Daec, Inc Dermatology PastSince Jan 31, 2021 Accepting new patients

Locations

3400 Old Milton Pkwy
Ste C565
Alpharetta, GA 30005
Phone (701) 664-1012

3131 Maple Dr NE
Ste 102
Atlanta, GA 30305

4360 Chamblee Dunwoody Rd
Atlanta, GA 30341
Phone (770) 457-7812

4939 Lower Roswell Rd
Ste 104A
Marietta, GA 30068

710 Newnan Crossing Byp
Newnan, GA 30263

710 Newnan Crossing Byp
#100
Newnan, GA 30263

110 Eagles Walk
Stockbridge, GA 30281
Phone (770) 389-3894

7300 Ranch Road 2222
Ste 200
Austin, TX 78730

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1508152232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4939 LOWER ROSWELL RD STE 104A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684382",
            "telephone_number": "404-816-7900",
            "fax_number": "048-167-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4939 LOWER ROSWELL RD STE 104A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684382",
            "telephone_number": "404-816-7900",
            "fax_number": "404-816-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAY-RAMSEY",
        "first_name": "TIFFANY",
        "middle_name": "LATRICE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "74484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.