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COASTAL MEDICAL DERMATOLOGY
NPI 1699553552
Specialist in Atlanta, GA

Active since September 20, 2023
285 W WIEUCA RD NE, ATLANTA, GA 30342(215) 439-9519(678) 647-6762 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coastal Medical Dermatology NPPES

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

COASTAL MEDICAL DERMATOLOGY (NPI 1699553552) is a healthcare organization registered as a specialist in Atlanta, Georgia and active in the NPI registry since September 2023. The organization lists Sandra V Dareus, Owner, as its authorized official.

NPPES Registry Identity

NPI1699553552
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCOASTAL MEDICAL DERMATOLOGY
Location Address285 W WIEUCA RD NEAtlanta, GA 30342-3321
Mailing Address45 Boynton Ave Se Unit 1207Atlanta, GA 30315-1868 · (215) 439-9519
Phone(215) 439-9519
Fax(678) 647-6762
Organization SubpartNo
Authorized OfficialSandra V DareusOwner · (215) 439-9519
Enumeration DateSeptember 20, 2023
NPPES CertifiedSeptember 20, 2023
✔ NPI 1699553552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.
285 W WIEUCA RD NE, Atlanta, GA 30342
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

SANDRA V DAREUS
Medical Genetics, Ph.D. Medical Genetics
285 W WIEUCA RD NE, PMB 4096
ATLANTA, GA 30342
Fulton County (215) 439-9519
MS. LESLEY NICOLE MITCHELL LCSW
Social Worker (Clinical)
285 W WIEUCA RD NE
ATLANTA, GA 30342
Fulton County (636) 299-6376
DR. KARA J. PEPPER MD
Internal Medicine
285 W WIEUCA RD NE, PMB 4127
ATLANTA, GA 30342
Fulton County (404) 491-9122
KELVIN ELLIS SR.
Driver
285 W WIEUCA RD NE
ATLANTA, GA 30342
Fulton County (470) 705-1500
JOHANNA JACKSON
Non-emergency Medical Transport (VAN)
285 W WIEUCA RD NE
ATLANTA, GA 30342
Fulton County (404) 998-3724
QUINTESSENCE OF HEALING, LLC.
Social Worker (Clinical)
285 W WIEUCA RD NE
ATLANTA, GA 30342
Fulton County (857) 261-1440

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 Coastal Medical Dermatology's NPI number?

The NPI number for Coastal Medical Dermatology is 1699553552. It was assigned to this organization in the NPPES registry on September 20, 2023.

Where is Coastal Medical Dermatology located?

Coastal Medical Dermatology is located at 285 W Wieuca Rd NE, Atlanta, GA 30342. The listed phone number is (215) 439-9519.

What is Coastal Medical Dermatology'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 Coastal Medical Dermatology was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.