Eric Andrew Dennin, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN225712 Issued in GA

Practice address

1365 Rock Quarry Rd
Stockbridge, GA 30281-5029

Phone

(678) 603-3765

Fax

(770) 506-4580

NPI assigned

Mar 2, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dermatology & Skin Cancer Prevention Center, Inc.

  • Specialist
  • Stockbridge, GA
  • NPI 1710213947
  Medicare reassignment NPD

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604707200000",
    "number": "1710489018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 BRIARCLIFF RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452647",
            "telephone_number": "678-603-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 ROCK QUARRY RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815029",
            "telephone_number": "678-603-3765",
            "fax_number": "770-506-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIN",
        "first_name": "ERIC",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-02",
        "last_updated": "2020-11-07",
        "certification_date": "2020-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "225712",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN225712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Deaton, PT
• Mary Decruise-Oates, PSY.D
• Richard P Delamar, LMT
• Stephanie M Delice, DDS
• Denise C. de Veranez, M.D., P.C.
• Iain Denning
• Christina Denninghoff, PSYD
• Dental One Associates (Stockbridge) LLC
• Dentistry for Children of Stockbridge II, LLC
• Dentistry for Children of Stockbridge, LLC

• Nurse Practitioner in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.