Active NPI
Debra J Atkins, M.D.
- Dermatology Physician
- Marietta, GA
National Provider Identifier
1790791465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 52052
- Practice address
- 1232 Johnson Ferry Rd
Marietta, GA 30068-2776 - Phone
- (678) 213-2220
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 52052 | GA | Primary |
Addresses
Primary practice location
1232 Johnson Ferry Rd
Marietta, GA 30068-2776
Mailing address
1232 Johnson Ferry Rd
Marietta, GA 30068-2776
Phone (678) 213-2220
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52052 | GA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349913600000",
"number": "1790791465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1232 JOHNSON FERRY RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300682776",
"telephone_number": "678-213-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1232 JOHNSON FERRY RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300682776",
"telephone_number": "678-213-2220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATKINS",
"first_name": "DEBRA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2012-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "GA",
"license": "52052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.