Individual provider Active NPI

Gloria Campbell-D'Hue, MD

  • Dermatology Physician
  • Atlanta, GA
National Provider Identifier
1669651766
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
024412 Issued in GA
Practice address
2950 Stone Hogan Connector Rd SW
Building 4
Atlanta, GA 30331-2837
Phone
(404) 349-7440
Fax
(404) 349-7402
NPI assigned
Oct 25, 2007
Last updated
Oct 25, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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 024412 GA Primary

Addresses

Primary practice location

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

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Dermatology & Aesthetics PC Dermatology PastSince Jan 1, 2005 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1669651766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 STONE HOGAN CONNECTOR RD SW",
            "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 RD SW",
            "address_2": "BUILDING 4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312837",
            "telephone_number": "404-349-7440",
            "fax_number": "404-349-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL-D'HUE",
        "first_name": "GLORIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "024412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.