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Atlanta Center for Dermatologic Diseases PC

NPI 1417910431ActiveOrganization· Dermatology· Roswell, GA

Dermatology in Roswell, Georgia, registered in NPPES in April 2006. The authorized official on file is Anita Reiner, Bookkeeping Insurance. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1417910431
StatusActive
Entity typeOrganization
NPI issuedApr 10, 2006
Last updated in NPPESDec 17, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Dermatology Primary207N00000X032990GA
Dermatology207N00000X027080GA
Dermatology207N00000X034135GA
Dermatology207N00000X044141GA
Dermatology207N00000X032377GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (GA)

Medicare sources and data years

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