SPRING BROOK DERMATOLOGY, LLC
NPI 1639584519
Clinic/Center in Atlanta, GA

Q: What is Spring Brook Dermatology, LLC's NPI number?

The NPI number for Spring Brook Dermatology, LLC is 1639584519. It was assigned to this organization in the NPPES registry on June 30, 2014.

Q: What is Spring Brook Dermatology, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since June 30, 2014

5491 ROSWELL RD, SUITE B, ATLANTA, GA 30342(504) 231-5544 Get Directions Write a Review

NPPES record last updated: June 30, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Spring Brook Dermatology, Llc NPPES

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

SPRING BROOK DERMATOLOGY, LLC (NPI 1639584519) is a healthcare organization registered as a clinic/center in Atlanta, Georgia and active in the NPI registry since June 2014. The organization lists Mary M Feldman, Owner, as its authorized official.

NPPES Registry Identity

NPI1639584519

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameSPRING BROOK DERMATOLOGY, LLC

Location Address5491 ROSWELL RD, SUITE BAtlanta, GA 30342-1911

Mailing Address3707 Randall Mill Rd NwAtlanta, GA 30327-2713 · (504) 231-5544

Phone(504) 231-5544

Organization SubpartNo

Authorized OfficialMary M FeldmanOwner · (504) 231-5544

Enumeration DateJune 30, 2014

✔ NPI 1639584519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in GA · 69403

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

5491 ROSWELL RD, Atlanta, GA 30342

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Other Identifiers 1

Medicare UPINH65098GA

Other Providers at the Same Location NPPES

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

MR. JON DARRYL PITTS DPM

Podiatrist

5491 ROSWELL RD, STE B
ATLANTA, GA 30342

Fulton County (404) 252-6662

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 Spring Brook Dermatology, LLC's NPI number?

The NPI number for Spring Brook Dermatology, LLC is 1639584519. It was assigned to this organization in the NPPES registry on June 30, 2014.

Where is Spring Brook Dermatology, LLC located?

Spring Brook Dermatology, LLC is located at 5491 Roswell Rd Suite B, Atlanta, GA 30342. The listed phone number is (504) 231-5544.

What is Spring Brook Dermatology, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Spring Brook Dermatology, LLC was last updated on June 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.