South Fulton Dermatology Associates,LLP

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

Legal business name

SOUTH FULTON DERMATOLOGY ASSOCIATES,LLP

Practice address

2719 Felton Dr
East Point, GA 30344-3603

Phone

(404) 763-4153

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Mark F Baucom, M.D.

Title

Partner

Phone

(404) 763-4153

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory J Cox, MD

  • Dermatology Physician
  • Atlanta, GA
  • NPI 1306803796
  NPD
• Charles Russell Harris Jr., M.D.

  • Dermatology Physician
  • Forsyth, GA
  • NPI 1073590410
  NPD (past)
• Paula M. Nelson, M.D.

  • Dermatology Physician
  • Lilburn, GA
  • NPI 1356333645
  NPD (past)
• Mary Ellen Joan Luchetti, M.D.

  • Dermatology Physician
  • Albuquerque, NM
  • NPI 1679565964
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801959101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 STOVALL BOULEVARD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30319",
            "telephone_number": "404-869-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 FELTON DR",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443603",
            "telephone_number": "404-763-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FULTON DERMATOLOGY ASSOCIATES,LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAUCOM",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "404-763-4153",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Atlanta Digestive Diseases Associates
• South Atlanta Medical Associates PC
• South Atlanta Medical Associates, PC
• South Atlanta Pulmonary Group
• South Atlanta Spine and Wellness Center
• South Fulton Medical Center Practice Plan, LLC
• South Fulton Primary Care, LLC
• South Fulton Regional Medical Center Pro Fee Billing, LLC
• South Mental Health
• Southcare Physicians Group Surgical Specialists, LLC

• Procedural Dermatology Physician in East Point, GA
• Providers in East Point, GA by specialty
• Procedural Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.