P Praxis·MD
● Active Type 2 · Organization

Atlanta Center For Dermatologic Diseases Pc

Dermatology·Roswell, GA· NPI 1417910431 · Enumerated 2006 · 20 years on NPI
Atlanta Center For Dermatologic Diseases Pc is 1 of 483 dermatology organizations in Georgia.
NPI age
20 years
Enumerated 2006-04-10
Primary specialty
Dermatology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Reiner
Bookkeeping Insurance
Last NPPES update
2012-12-17
Source: monthly bulk 2026-05

How this organization compares

Across 483 active dermatology providers in Georgia.

NPI age
20 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-04Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
1265 Upper Hembree Rd, Ste 100
Roswell, GA 300761143
📞 7707511433fax 7707517410
Mailing address
1265 Upper Hembree Rd, Ste 100
Roswell, GA 300761143
📞 7707511433fax 7707517410

Authorized official

Anita Reiner
Bookkeeping Insurance
📞 7707511433

Individual providers at this organization

10 individual providers on file at this primary practice address.

Specialties

  • Dermatology Primary
    A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
    GA license #032990GA license #027080GA license #034135GA license #044141GA license #032377 taxonomy 207N00000X

Identifiers

TypeValueNotes
01 D45942 PRUCARE SELECT
01 D45942 PRUDENTIAL HMD AFFILIAT
01 237691 STATE OF GEORGIA
01 045942 FAMILY PLUS
01 237691 BCBS BLUE CROSS
01 472244 AETNA US HEALTH CARE
01 CM0095 RR MEDICARE
01 104004 HMO PARTNERS
01 070004931 RR MEDICARE
01 0306784 HMO HEALTH FIRST
01 077541037 CHAMPUS
01 D45942 PRUCARE PLUS
01 D45942 EMORY CARE
01 1751 HMO GEORGIA NETWORK

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Drs D Levine J Silyerstein M Fisher M Weil K Ellner
    Type code 5 recorded 2006-04-10

Practice context

Multi-provider organization. 10 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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