Individual provider Active NPI

Zola Nemorin, MEDICAL ESTHETICIAN

  • Dermatology Physician
  • Suwanee, GA
National Provider Identifier
1649750688
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ES004943 Issued in GA
Practice address
1500 Peachtree Industrial Blvd Ste 165
Suwanee, GA 30024-8490
Phone
(678) 835-8741
NPI assigned
Aug 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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 ES004943 GA Primary

Addresses

Primary practice location

1500 Peachtree Industrial Blvd Ste 165
Suwanee, GA 30024-8490

Mailing address

1148 Woodtrace LN
Auburn, GA 30011-4721
Phone (678) 447-6597

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ES004943GAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skyn Clinic & Apothecary Dermatology Past Accepting new patients

Organizations & group practices 1

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": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1649750688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 WOODTRACE LN",
            "city": "AUBURN",
            "state": "GA",
            "postal_code": "300114721",
            "telephone_number": "678-447-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PEACHTREE INDUSTRIAL BLVD STE 165",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300248490",
            "telephone_number": "678-835-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMORIN",
        "first_name": "ZOLA",
        "name_prefix": "Mrs.",
        "credential": "MEDICAL ESTHETICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "ES004943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.