BARRY L THOMPSON (NPI# 1215923073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215923073 |
Entity Type | Organization |
Organization Name | BARRY L THOMPSON |
Other Organization Name | CENTRAL DERMATOLOGY LLC |
Practice Address |
2060 Central Ave Augusta GA 30904-4177 |
Practice Telephone | 7067384442 |
Practice Fax Number | 7067383841 |
Mailing Telephone | 7067384442 |
Mailing Fax Number | 7067383841 |
Enumeration Date | 2005-09-26 |
Last Update Date | 2007-07-19 |
Authorized Official Name | BARRY L THOMPSON (SOLE MEMBER) |
Authorized Official Telephone | 7067384442 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | RAILROAD MEDICARE | GP29679 | 01 |
SC | GPA783 | 05 |
Other Name | Type Code |
---|---|
Central Dermatology LLC | Doing Business As Name - Organization |
Street Address |
2060 CENTRAL AVE |
City | AUGUSTA |
State | GA |
Zip Code | 30904-4177 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477549277 | John R T Reeves IIi | Dermatology | 2060 Central Ave, Augusta, GA 30904-4177 | 2005-09-27 |
1760478580 | Barry Lane Thompson | Dermatology | 2060 Central Ave, Augusta, GA 30904-4177 | 2005-09-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
Find all providers in zip 30904 |
Taxonomy Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
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 dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134568520 | Matthew Dean Belcher | Dermatology | 1120 15th St Fl 5, Augusta, GA 30912 | 2013-06-18 |
1073822607 | Edward Hardin Smith Jr. | Dermatology | 514 Winchester Dr, Augusta, GA 30909-3236 | 2010-09-30 |
1093972325 | Jeremiah Allan Miller IIi | Dermatology | 3624 J. Dewey Gray Circle, Suite 250, Augusta West Dermatology, Augusta, GA 30909 | 2008-05-22 |
1225235393 | Sarah Josephson Cely | Dermatology | 820 Saint Sebastian Way Ste 6c, Augusta, GA 30901-2640 | 2007-07-02 |
1649349978 | Augusta Dermatology Associates PC | Dermatology | 820 St Sebastian Way Ste 6c, Augusta, GA 30901 | 2006-11-08 |
1437142072 | Fred Jason Kight | Dermatology | 1248 Augusta West Pkwy, Augusta, GA 30909-1854 | 2005-08-30 |
1720516560 | James Petit | Dermatology | 1004 Chafee Ave, Augusta, GA 30904 | 2017-05-24 |
1801272968 | Augusta West Dermatology, LLC | Dermatology | 3624 J Dewey Gray Cir, Suite 250, Augusta, GA 30909-6584 | 2015-07-30 |
1427431048 | Rachel Marks Greenwood | Dermatology | 950 15th St, Augusta, GA 30901-2608 | 2015-07-01 |
1356738199 | Mario Maruthur | Dermatology | 1120 15th St, Augusta, GA 30912-1059 | 2015-04-20 |
Find all providers in AUGUSTA |
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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.