NPI age
19 years
Enumerated 2007-03-26
● Active Type 2 · Organization
Tara Dermatology Center Pc
Tara Dermatology Center Pc is 1 of 196 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Peng
Physician
Last NPPES update
2013-03-26
Source: monthly bulk 2026-05
How this organization compares
Across 196 active clinic/center providers in Georgia.
NPI age
19 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
191 Medical Blvd
Stockbridge, GA 302815083
Mailing address
191 Medical Blvd
Stockbridge, GA 302815083
Authorized official
Vincent Peng
Physician
📞 7709911000
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Shniqual Adams, CNM Advanced Practice Midwife NPI 1922457167
- Karthik Bhat, MD Surgery NPI 1013546126
- Elisheba Butts, MD Obstetrics & Gynecology NPI 1922413145
- Alan Levy, M.D. Surgery NPI 1558414276
- Ashlee McCorkle-Jamieson, M.D. Obstetrics & Gynecology NPI 1902252539
- Daniel McElhannon, P.A.-C Physician Assistant NPI 1568515245
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Vincent T Peng MD PC
Practice context
Multi-provider organization. 6 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.