COLE DERMATOLOGY & AESTHETIC CENTER, P.C. (NPI# 1114100377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114100377 |
| Entity Type | Organization |
| Organization Name | COLE DERMATOLOGY & AESTHETIC CENTER, P.C. |
| Practice Address |
3655 Howell Ferry Rd Ste 400 Duluth GA 30096-3186 |
| Practice Telephone | 6784176900 |
| Mailing Telephone | 6784176900 |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2011-12-19 |
| Authorized Official Name | DR. KENDRA ANN COLE (OWNER) |
| Authorized Official Telephone | 6784176900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
030406 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 302056161A | 05 |
| Street Address |
3655 HOWELL FERRY RD STE 400 |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-3186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124093273 | Anthony M. Cutsuries | Podiatrist | 3655 Howell Ferry Rd, Suite 100, Duluth, GA 30096-3179 | 2006-02-22 |
| 1093366940 | Gary Tyler Neff | Technician/Technologist | 3655 Howell Ferry Rd, Duluth, GA 30096-3186 | 2019-09-23 |
| 1942666029 | Shayla Rae Forgione | Behavioral Analyst | 3655 Howell Ferry Rd, Duluth, GA 30096-3186 | 2016-01-05 |
| 1891887311 | Village Podiatry Group, LLC. | Podiatrist | 3655 Howell Ferry Rd, Suite 100, Duluth, GA 30096-3186 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1205138757 | Amanda Eileen Harpring | Dermatology | 3379 Peachtree Rd Ne, Suite 500, Atlanta, GA 30326-1031 | 2010-12-02 |
| 1538396577 | Center for Dermatology, LLC | Dermatology | 631 Professional Dr Ste 110, Lawrenceville, GA 30046-3367 | 2009-06-17 |
| 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.