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TARA DERMATOLOGY CENTER PC
NPI 1699892380
Clinic/Center - Medical Specialty in Stockbridge, GA

Active since March 26, 2007
191 MEDICAL BLVD, STOCKBRIDGE, GA 30281(770) 991-1000 Get Directions Write a Review

NPPES record last updated: March 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tara Dermatology Center Pc NPPES

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

TARA DERMATOLOGY CENTER PC (NPI 1699892380), doing business as Vincent T Peng Md Pc, is a healthcare organization registered as a medical specialty in Stockbridge, Georgia and active in the NPI registry since March 2007. The organization lists Vincent Peng, Physician, as its authorized official.

NPPES Registry Identity

NPI1699892380
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameTARA DERMATOLOGY CENTER PC
Location Address191 MEDICAL BLVDStockbridge, GA 30281-5083
Mailing Address191 Medical BlvdStockbridge, GA 30281-5083 · (770) 991-1000
Phone(770) 991-1000
Organization SubpartNo
Authorized OfficialVincent PengPhysician · (770) 991-1000
Enumeration DateMarch 26, 2007
Last NPPES UpdateMarch 26, 2013
✔ NPI 1699892380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
191 MEDICAL BLVD, Stockbridge, GA 30281
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Other Names 1

Former Legal Business NameVincent T Peng Md Pc

Other Identifiers 1

Medicare PINGRP2217GA

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.

KARTHIK BHAT MD
Surgery (Vascular Surgery)
191 MEDICAL BLVD
STOCKBRIDGE, GA 30281
Henry County (678) 604-5015
ALAN MERRILL LEVY M.D.
Surgery (Vascular Surgery)
191 MEDICAL BLVD
STOCKBRIDGE, GA 30281
Henry County (678) 604-5015
DANIEL CHRISTOPHER MCELHANNON P.A.-C
Physician Assistant
191 MEDICAL BLVD
STOCKBRIDGE, GA 30281
Henry County (678) 604-5028
DR. ASHLEE MCCORKLE-JAMIESON M.D.
Obstetrics & Gynecology
191 MEDICAL BLVD
STOCKBRIDGE, GA 30281
Henry County (678) 604-4000
DR. ELISHEBA BUTTS MD
Obstetrics & Gynecology
191 MEDICAL BLVD
STOCKBRIDGE, GA 30281
Henry County (678) 604-4000
SHNIQUAL ADAMS CNM
Advanced Practice Midwife
191 MEDICAL BLVD
STOCKBRIDGE, GA 30281
Henry County (678) 604-4000

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 Tara Dermatology Center PC's NPI number?

The NPI number for Tara Dermatology Center PC is 1699892380. It was assigned to this organization in the NPPES registry on March 26, 2007. The provider was formerly known as Vincent T Peng MD PC.

Where is Tara Dermatology Center PC located?

Tara Dermatology Center PC is located at 191 Medical Blvd, Stockbridge, GA 30281. The listed phone number is (770) 991-1000.

What is Tara Dermatology Center PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Tara Dermatology Center PC was last updated on March 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.