Springs Dermatology, LLC

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

Legal business name

SPRINGS DERMATOLOGY, LLC

Practice address

6400 Blue Stone Rd Ste 150
Sandy Springs, GA 30328-4220

Phone

(470) 769-9400

Fax

(470) 769-9402

NPI assigned

Mar 10, 2021

Last updated

Mar 10, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

JOHNS CREEK DERMATOLOGY AND FAMILY MEDICINE, P.C.As reported in NPPES

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

Authorized official

Name

Mrs. Gina Delgado

Title

Billing Manager

Phone

(770) 771-6591

Specialties & licenses 2

Addresses

Other names 1

• Johns Creek dermatology and fa Other name

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

Part of

Johns Creek Derm and Family

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Johns Creek Dermatology and Family Medicine, P.C.

  • Dermatology Physician
  • Johns Creek, GA
  • NPI 1053565580
  NPPES parent name

Practitioners 3

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.

• Shereen Timani-Charkawi, M.D.

  • Dermatology Physician
  • Johns Creek, GA
  • NPI 1851505077

  Dermatopathology

  Medicare reassignment Care Compare group NPD
• Ahmad Charkawi, MD

  • Family Medicine Physician
  • Johns Creek, GA
  • NPI 1982602074
  Care Compare group NPD
• Anna Leigh Vonck, PA-C

  • Physician Assistant
  • Duluth, GA
  • NPI 1023619129
  NPD

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1679158885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 BLUE STONE RD STE 150",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284220",
            "telephone_number": "470-769-9400",
            "fax_number": "470-769-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 BLUE STONE RD STE 150",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284220",
            "telephone_number": "470-769-9400",
            "fax_number": "470-769-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGS DERMATOLOGY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHNS CREEK DERMATOLOGY AND FAMILY MEDICINE, P.C.",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "770-771-6591",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johns Creek dermatology and fa",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kelli R Spencer, LPC, NCC
• Cheryl B. Spickerman, PT
• Caitlyn Spierto
• Deena Altman Spital, PHYSICIAN ASSISTANT
• Elizabeth Spitzer
• Stability Pilates and Physical Therapy of Atlanta LLC
• Stacey Levy & Associates LLC
• Robert L. Stahl, M.D.
• Meara Stahley, LAPC
• Therese Yolanda Stanley

• Dermatopathology Physician in Sandy Springs, GA
• Providers in Sandy Springs, GA by specialty
• Dermatopathology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.