NPIMap

Organization Active NPI

Atlanta Center of Dermatology and Medispa PC

  • Dermatology Physician
  • Atlanta, GA
National Provider Identifier
1568533180
Registry record updated Mar 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
024412 Issued in GA
Legal business name
ATLANTA CENTER OF DERMATOLOGY AND MEDISPA PC
Practice address
2950 Stone Hogan Connector
Building 4
Atlanta, GA 30331-2837
Phone
(404) 349-7440
Fax
(404) 349-7402
NPI assigned
Nov 13, 2006
Last updated
Mar 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2013

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

Authorized official

Name
Gloria Campbell D Hue, MDNPI 1669651766
Title
Dermatologist President
Phone
(404) 349-7440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 024412 GA Primary

Addresses

Primary practice location

2950 Stone Hogan Connector
Building 4
Atlanta, GA 30331-2837

Mailing address

2950 Stone Hogan Connector
Building 4
Atlanta, GA 30331-2837
Phone (404) 349-7440

Other names 1

  • Gloria Campbell D Hue Other name

National Provider Directory

National Provider Directory

Locations

2950 Stone Hogan Connector Rd SW
Bldg 4
Atlanta, GA 30331
Phone (404) 349-7440

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362700800000",
    "number": "1568533180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 STONE HOGAN CONNECTOR",
            "address_2": "BUILDING 4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312837",
            "telephone_number": "404-349-7440",
            "fax_number": "404-349-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 STONE HOGAN CONNECTOR",
            "address_2": "BUILDING 4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312837",
            "telephone_number": "404-349-7440",
            "fax_number": "404-349-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA CENTER OF DERMATOLOGY AND MEDISPA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2013-03-08",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL D HUE",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "DERMATOLOGIST PRESIDENT",
        "authorized_official_telephone_number": "404-349-7440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "GA",
            "license": "024412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gloria Campbell D Hue",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; 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.