DR. KELLI INGRAM BAENDER (NPI# 1093793416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093793416 |
| Entity Type | Individual |
| Full Name | DR. KELLI INGRAM BAENDER |
| Credential | M.D. |
| Practice Address |
3379 Peachtree Rd. Ne Suite 500 Atlanta GA 30326-1418 |
| Practice Telephone | 4043555484 |
| Practice Fax Number | 4043555787 |
| Mailing Telephone | 4043555484 |
| Mailing Fax Number | 4043555787 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2014-10-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 60105 | GA | Allopathic & Osteopathic Physicians |
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
60105 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | TRIWEST | 86080015085259A972 | 01 |
| AZ | 894057 | 05 | |
| AZ | RAILROAD MEDICARE | P00231283 | 01 |
| Street Address |
3379 PEACHTREE RD. NE SUITE 500 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30326-1418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126850 | Surge Home Care | In Home Supportive Care | 707 Park Ave. Ne, #1532, Atlanta, GA 30326 | 2020-08-31 |
| 1841800836 | Ascend Medical Georgia PC | Family Medicine | One Alliance Center, 3500 Lenox Road Suite 1500, Atlanta, GA 30326 | 2020-08-04 |
| 1356797344 | Shine Bright Family Services | Counselor | 3348 Peachtree Road Ne, Suite 700, Atlanta, GA 30326 | 2016-05-09 |
| 1225404726 | Fc Midlands N Charleston, LLC | Assisted Living Facility | 3500 Lenox Road, Suite 510, Atlanta, GA 30326 | 2015-08-19 |
| 1295116812 | Damaris Johnson | Marriage & Family Therapist | 3355 Lenox Dr., Suite 750, Atlanta, GA 30326 | 2015-06-10 |
| 1518347673 | Arterial Health International LLC | Physiological Laboratory | 3340 Peachtree Road, Ste 1800, Atlanta, GA 30326 | 2015-06-04 |
| 1578941902 | Dean Health Solutions, LLC | Durable Medical Equipment & Medical Supplies | 3379 Peachtree Road Ne, Suite 555, Atlanta, GA 30326 | 2015-05-18 |
| 1366720823 | Accuquest Hearing Centers LLC | Specialist | 3343 Peachtree Rd N.e., Suite M10b, Atlanta, GA 30326 | 2011-08-01 |
| 1861702029 | Three C, LLC | Durable Medical Equipment & Medical Supplies | 3500 Lenox Rd, Suite 500, Atlanta, GA 30326 | 2010-10-20 |
| 1679732713 | Sherry C Simpson | Counselor | Bel Esprit Psychotherapy & Consultation, LLC, 3340 Peachtree Road, Office 1860, Atlanta, GA 30326 | 2008-06-04 |
| Find all providers in zip 30326 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205138757 | Amanda Eileen Harpring | Dermatology | 3379 Peachtree Rd Ne, Suite 500, Atlanta, GA 30326-1031 | 2010-12-02 |
| 1780872556 | Atlanta Skin and Aesthetics | Dermatology | 5671 Peachtree Dunwoody Rd Ste 660, Atlanta, GA 30342-5006 | 2007-10-05 |
| 1073691879 | Shenara Austin Sexton | Dermatology | 2525 Cumberland Pkwy Se, Atlanta, GA 30339-3915 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326237520 | Larry H Pierce Md PC | Dermatology | 1267 Interstate Pkwy, Augusta, GA 30909-6481 | 2007-10-24 |
| 1891824108 | Tanda Nichole Lane | Dermatology | 1210 Brookstone Centre Pkwy, Columbus, GA 31904-2954 | 2007-03-04 |
| 1801959101 | South Fulton Dermatology Associates,llp | Dermatology | 2719 Felton Dr, East Point, GA 30344-3603 | 2006-12-18 |
| 1295818672 | Robert Mcclure IIi | Dermatology | 5024 Lawrenceville Hwy Nw, Lilburn, GA 30047-4914 | 2006-10-23 |
| 1952495558 | Larry H. Pierce | Dermatology | 1267 Interstate Pkwy., Augusta, GA 30909 | 2006-10-03 |
| 1578586400 | Jason L Smith | Dermatology | 103 John Maddox Dr Nw, Rome, GA 30165-1419 | 2006-07-25 |
| 1023082005 | Abdul Hafeez | Dermatology | 631 Professional Dr Ste 110, Lawrenceville, GA 30046-3367 | 2006-02-15 |
| 1538396577 | Center for Dermatology, LLC | Dermatology | 631 Professional Dr Ste 110, Lawrenceville, GA 30046-3367 | 2009-06-17 |
| 1114100377 | Cole Dermatology & Aesthetic Center, P.C. | Dermatology | 3655 Howell Ferry Rd, Ste 400, Duluth, GA 30096-3186 | 2007-12-11 |
| 1467641381 | Northwest Georgia Dermatology & Skin Surgery Center PC | Dermatology | 103 John Maddox Dr Nw, Rome, GA 30165-1419 | 2007-10-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.