NORTHSIDE DERMATOLOGY ASSOCIATES, P.C.
NPI 1508047846
Specialist in Atlanta, GA
NPI Status: Active since November 15, 2007
Contact Information
755 MOUNT VERNON HWY
SUITE 110
ATLANTA, GA
ZIP 30328
Phone: (404) 256-9692
Fax: (404) 256-9404
- Organization
- Specialist
- CLIA Number: 11D2305938
- CLIA Cert. Type: Other - OUTPATIENT IMAGING CENTER
- CLIA Exp. Date: 06-09-2026
About NORTHSIDE DERMATOLOGY ASSOCIATES, P.C.
This page provides the complete NPI Profile along with additional information for Northside Dermatology Associates, P.c., a provider established in Atlanta, Georgia operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1508047846 assigned on November 2007. The practitioner's primary taxonomy code is 174400000X with license number 012988 (GA). The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Stewart E Wiegand M.d. (Doctor/owner)
- NPI
- 1508047846
- Provider Name
- NORTHSIDE DERMATOLOGY ASSOCIATES, P.C.
- Entity Type
- Organization
- Location Address
- 755 MOUNT VERNON HWY SUITE 110 ATLANTA, GA 30328
- Location Phone
- (404) 256-9692
- Location Fax
- (404) 256-9404
- Mailing Address
- 755 MOUNT VERNON HWY SUITE 110 ATLANTA, GA 30328
- Mailing Phone
- (404) 256-9692
- Mailing Fax
- (404) 256-9404
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-15-2007
- Last Update Date
- 12-05-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 012988
- License State
- GA
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00176481C | MEDICAID (05) | GA | |
| GRP1581 | MEDICARE PIN (08) | GA | |
| CM5399 | OTHER (01) | GA | RAILROAD MEDICARE |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2305938
- Facility Type
- Other - OUTPATIENT IMAGING CENTER
- Certificate Effective Date
- June 10, 2024
- Certificate Expiration Date
- June 09, 2026
- Laboratory Director
- CAROLYN WEAVER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Northside Dermatology Associates, P.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for NORTHSIDE DERMATOLOGY ASSOCIATES, P.C.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1508047846, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 17 providers are registered at the same or a nearby location.
ATLANTA, GA 30328
ATLANTA, GA 30328
ATLANTA, GA 30328
ATLANTA, GA 30328
ATLANTA, GA 30328
ATLANTA, GA 30328
ATLANTA, GA 30328
ATLANTA, GA 30328
ATLANTA, GA 30328
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508047846, enumerated as an "organization" on November 15, 2007.
The provider is located at 755 MOUNT VERNON HWY SUITE 110 ATLANTA, GA 30328 and the phone number is (404) 256-9692.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.
