Organization Active NPI

Denise C. de Veranez, M.D., P.C.

  • Internal Medicine Physician
  • Stockbridge, GA
National Provider Identifier
1841515780
Registry record updated Apr 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
041279 Issued in GA
Legal business name
DENISE C. DE VERANEZ, M.D., P.C.
Practice address
175 Country Club Dr
BLDG. 100, Ste. C
Stockbridge, GA 30281-9054
Phone
(770) 507-1414
Fax
(770) 507-5150
NPI assigned
Apr 4, 2010
Last updated
Apr 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2010

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

Authorized official

Name
Dr. Denise Cheryl De Veranez, M.D.NPI 1659409043
Title
President
Phone
(770) 507-1414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 041279 GA Primary

Addresses

Primary practice location

175 Country Club Dr
BLDG. 100, Ste. C
Stockbridge, GA 30281-9054

Mailing address

110 Lang Dr
Fayetteville, GA 30214-3894
Phone (770) 507-1414

National Provider Directory

National Provider Directory

Locations

175 Country Club Dr
Bldg 100C
Stockbridge, GA 30281
Phone (678) 284-1000

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1270339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270339200000",
    "number": "1841515780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LANG DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302143894",
            "telephone_number": "770-507-1414",
            "fax_number": "770-507-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 COUNTRY CLUB DR",
            "address_2": "BLDG. 100, STE. C",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819054",
            "telephone_number": "770-507-1414",
            "fax_number": "770-507-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE C. DE VERANEZ, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-04",
        "last_updated": "2010-04-04",
        "status": "A",
        "authorized_official_last_name": "DE VERANEZ",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "CHERYL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-507-1414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "041279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2010; 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.