NORTHSIDE DERMATOLOGY ASSOCIATES, P.C.
NPI 1508047846
Specialist in Atlanta, GA

Active since November 15, 2007
755 MOUNT VERNON HWY, SUITE 110, ATLANTA, GA 30328(404) 256-9692(404) 256-9404 Get Directions Write a Review

NPPES record last updated: December 5, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Northside Dermatology Associates, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHSIDE DERMATOLOGY ASSOCIATES, P.C. (NPI 1508047846) is a healthcare organization registered as a specialist in Atlanta, Georgia and active in the NPI registry since November 2007. The organization lists Stewart E Wiegand, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1508047846
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNORTHSIDE DERMATOLOGY ASSOCIATES, P.C.
Location Address755 MOUNT VERNON HWY, SUITE 110Atlanta, GA 30328-4274
Mailing Address755 Mount Vernon Hwy, Suite 110Atlanta, GA 30328-4274 · (404) 256-9692 · Fax (404) 256-9404
Fax(404) 256-9404
Organization SubpartNo
Authorized OfficialStewart E WiegandDoctor/owner · (404) 256-5611
Enumeration DateNovember 15, 2007
Last NPPES UpdateDecember 5, 2007
NPI 1508047846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in GA · 012988
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
755 MOUNT VERNON HWY, Atlanta, GA 30328

Other Identifiers 3

Medicaid00176481CGA
Medicare PINGRP1581GA
OtherCM5399GA · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
755 MOUNT VERNON HWY, SUITE 500
ATLANTA, GA 30328
Pharmacy (Community/Retail Pharmacy)
755 MOUNT VERNON HWY, SUITE 450
ATLANTA, GA 30328
Obstetrics & Gynecology (Gynecology)
755 MOUNT VERNON HWY, SUITE 240
ATLANTA, GA 30328
Family Medicine
755 MOUNT VERNON HWY, SUITE 120
ATLANTA, GA 30328
Physician Assistant
755 MOUNT VERNON HWY, SUITE 110
ATLANTA, GA 30328
Internal Medicine (Gastroenterology)
755 MOUNT VERNON HWY, STE 230
ATLANTA, GA 30328
Internal Medicine (Cardiovascular Disease)
755 MOUNT VERNON HWY, 530
ATLANTA, GA 30328
Otolaryngology
755 MOUNT VERNON HWY, SUITE 520
ATLANTA, GA 30328

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northside Dermatology Associates, P.C.'s NPI number?

The NPI number for Northside Dermatology Associates, P.C. is 1508047846. It was assigned to this organization in the NPPES registry on November 15, 2007.

Where is Northside Dermatology Associates, P.C. located?

Northside Dermatology Associates, P.C. is located at 755 Mount Vernon Hwy Suite 110, Atlanta, GA 30328. The listed phone number is (404) 256-9692.

What is Northside Dermatology Associates, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Northside Dermatology Associates, P.C. was last updated on December 5, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.