BARRY L THOMPSON


Address: 2060 Central Ave, Augusta, GA 30904-4177
Phone: 7067384442

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA RAILROAD MEDICARE GP29679 01
SC GPA783 05

Other Provider/Organization Names

Other Name Type Code
Central Dermatology LLC Doing Business As Name - Organization

Office Location

Street Address 2060 CENTRAL AVE
City AUGUSTA
State GA
Zip Code 30904-4177

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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City AUGUSTA
Zip Code 30904

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Dataset Information

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.

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