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ATLANTA DERMATOLOGY & SURGERY P.A.
NPI 1932300084
Specialist in Tucker, GA

Active since May 29, 2007
1462 MONTREAL RD, SUITE 411, TUCKER, GA 30084(404) 296-8000(770) 493-6842 Get Directions Write a Review

NPPES record last updated: November 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Atlanta Dermatology & Surgery P.a. NPPES

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

ATLANTA DERMATOLOGY & SURGERY P.A. (NPI 1932300084) is a healthcare organization registered as a specialist in Tucker, Georgia and active in the NPI registry since May 2007. The organization lists Jerry Lee Cooper, President, as its authorized official.

NPPES Registry Identity

NPI1932300084
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameATLANTA DERMATOLOGY & SURGERY P.A.
Location Address1462 MONTREAL RD, SUITE 411Tucker, GA 30084-6929
Mailing Address1462 Montreal Rd, Suite 411Tucker, GA 30084-6929 · (404) 296-8000 · Fax (770) 493-6842
Phone(404) 296-8000
Fax(770) 493-6842
Organization SubpartNo
Authorized OfficialJerry Lee CooperPresident · (404) 296-8000
Enumeration DateMay 29, 2007
Last NPPES UpdateNovember 17, 2015
✔ NPI 1932300084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 011850
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.
1462 MONTREAL RD, Tucker, GA 30084
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Other Identifiers 1

Medicare UPINGRP1071GA

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 20

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

PERIMETER OB GYN CARE 2 LLC
Obstetrics & Gynecology
1462 MONTREAL RD, SUITE 412
TUCKER, GA 30084
Dekalb County (404) 943-0205
DAMIEN ANTOINE DOUTE MD
Specialist
1462 MONTREAL RD, STE 218
TUCKER, GA 30084
Dekalb County (470) 294-0863
PROF. MARK MONTEROLA
Pharmacy Technician
1462 MONTREAL RD
TUCKER, GA 30084
Dekalb County (770) 934-0000
MEDICAL ASSOCIATES OF GEORGIA
Internal Medicine
1462 MONTREAL RD, 307
TUCKER, GA 30084
Dekalb County (770) 938-5552
WALKER L RAY JR. MD
Pediatrics
1462 MONTREAL RD, STE 411
TUCKER, GA 30084
Dekalb County (770) 491-6360
KIDS & TEENS PRIMARY HEALTH CARE OF ATLANTA, P.C.
Pediatrics (Adolescent Medicine)
1462 MONTREAL RD, STE 212
TUCKER, GA 30084
Dekalb County (404) 875-4261
STANLEY GENE PANG RD, LD
Dietitian, Registered
1462 MONTREAL RD, SUITE 203
TUCKER, GA 30084
Dekalb County (770) 674-5458
ADVANCED ORTHOPEDIC SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
1462 MONTREAL RD, SUITE 109
TUCKER, GA 30084
Dekalb County (770) 333-7888

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 Atlanta Dermatology & Surgery P.A.'s NPI number?

The NPI number for Atlanta Dermatology & Surgery P.A. is 1932300084. It was assigned to this organization in the NPPES registry on May 29, 2007.

Where is Atlanta Dermatology & Surgery P.A. located?

Atlanta Dermatology & Surgery P.A. is located at 1462 Montreal Rd Suite 411, Tucker, GA 30084. The listed phone number is (404) 296-8000.

What is Atlanta Dermatology & Surgery P.A.'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 Atlanta Dermatology & Surgery P.A. was last updated on November 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.