Individual provider Active NPI

Sonya Bellamy, MD

  • Dermatology Physician
  • Atlanta, GA
National Provider Identifier
1780638627
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036098 Issued in GA
Practice address
4360 Chamblee Dunwoody Rd
Suite 260
Atlanta, GA 30341-1049
Phone
(770) 452-5667
Fax
(770) 452-5677
NPI assigned
May 22, 2006
Last updated
Oct 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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 036098 GA Primary

Addresses

Primary practice location

4360 Chamblee Dunwoody Rd
Suite 260
Atlanta, GA 30341-1049

Mailing address

4360 Chamblee Dunwoody Rd
Suite 260
Atlanta, GA 30341-1049
Phone (770) 452-5667

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070604000391 GA Practitioner - Dermatology 0446358139 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3379 Peachtree Rd NE
Suite 500
Atlanta, GA 30326-1418

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions215
Removal or shaving of skin growth1-10
Skin biopsy72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036098GAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Primary Care Professional Services, LLC CurrentSince May 1, 2014 Accepting new patients
Georgia Dermatology Specialists PC CurrentSince Aug 16, 2017 Accepting new patients
Northside Primary Care Professional Services,LLC CurrentSince May 1, 2014 Accepting new patients

Locations

3379 Peachtree Rd NE
Ste 500
Atlanta, GA 30326
Phone (404) 355-5484

4360 Chamblee Dunwoody Rd
Ste 260
Atlanta, GA 30341
Phone (770) 452-5667

1505 Northside Blvd
Ste 1500
Cumming, GA 30041
Phone (770) 781-5077

11755 Pointe Pl
Ste B
Roswell, GA 30076
Phone (678) 992-0089

1285 Upper Hembree Rd
Ste 205
Roswell, GA 30076
Phone (770) 521-1587

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

3350 Paddocks Pkwy
#3350A
Suwanee, GA 30024
Phone (678) 474-9633

Organizations & group practices 3

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1780638627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 CHAMBLEE DUNWOODY RD",
            "address_2": "SUITE 260",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411049",
            "telephone_number": "770-452-5667",
            "fax_number": "770-452-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 CHAMBLEE DUNWOODY RD",
            "address_2": "SUITE 260",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411049",
            "telephone_number": "770-452-5667",
            "fax_number": "770-452-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLAMY",
        "first_name": "SONYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "036098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.