DERMATOLOGY AFFILIATES EAST COBB
NPI 1962767954
Dermatology in Marietta, GA

NPI Status: Active since July 06, 2012

Contact Information

4939 LOWER ROSWELL RD
SUITE 104A
MARIETTA, GA
ZIP 30068
Phone: (404) 816-7900
Fax: (404) 816-7929

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  • Organization
  • Dermatology

About DERMATOLOGY AFFILIATES EAST COBB

This page provides the complete NPI Profile along with additional information for Dermatology Affiliates East Cobb, a provider established in Marietta, Georgia operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1962767954 assigned on July 2012. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Dermatology Affiliates East Cobb. The authorized official of this NPI record is Virginia Rutledge Forney M.d. (President/owner)

NPI
1962767954
Provider Legal Name
DAEC, INC
Other Organization Name
DERMATOLOGY AFFILIATES EAST COBB
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4939 LOWER ROSWELL RD SUITE 104A MARIETTA, GA 30068
Location Phone
(404) 816-7900
Location Fax
(404) 816-7929
Mailing Address
PO BOX 52226 ATLANTA, GA 30355
Mailing Phone
(404) 816-7900
Mailing Fax
(404) 816-7929
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-06-2012
Last Update Date
07-06-2012
Code Navigator

A dermatologist like Dermatology Affiliates East Cobb is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

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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

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1174400000XOther Service Providers

Specialist

 
2207NS0135XAllopathic & Osteopathic Physicians

Dermatology
Procedural Dermatology

 

Group Taxonomy 193400000X MULTIPLE 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

VIRGINIA RUTLEDGE FORNEY M.D.

Authorized Official Title
PRESIDENT/OWNER
Authorized Official Phone
(404) 816-7900

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1962767954
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2912214614910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 1 + 4 + 6 + 1 + 4 + 9 + 1 + 0 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1962767954 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003934050DR. RALPH S COHEN DMD
Individual
Dentist (General Practice)4939 LOWER ROSWELL RD
MARIETTA, GA 30068
(770) 973-0544
1093955106MRS. ROBBYN FAYE LAUFER OTR/L
Individual
Occupational Therapist4939 LOWER ROSWELL RD BUILDING C, SUITE 201
MARIETTA, GA 30068
(770) 317-6755
1144460080MRS. TIFFANY S. WEST OT
Individual
Occupational Therapist4939 LOWER ROSWELL RD SUITE 201
MARIETTA, GA 30068
(770) 578-1519
1821238627MRS. SUSAN H. KRONENBERGER OTR/L
Individual
Occupational Therapist (Pediatrics)4939 LOWER ROSWELL RD BUILDING C, SUITE 201
MARIETTA, GA 30068
(770) 578-0860
1578704391MS. EMILY DANIELLE VENABLE MHS, OTR/L
Individual
Occupational Therapist4939 LOWER ROSWELL RD BLDG C, SUITE 201
MARIETTA, GA 30068
(770) 578-1519
1104152453DR. STEVEN GARY BERGER PH.D.
Individual
Psychologist (Clinical Child & Adolescent)4939 LOWER ROSWELL RD BLDG B - 202
MARIETTA, GA 30068
(770) 971-3303
1871861468 SARA RACHEL DECKELBAUM PSY.D.
Individual
Psychologist (Clinical)4939 LOWER ROSWELL RD SUITE B-202
MARIETTA, GA 30068
(770) 971-3303
1730522038BERGER PSYCHOLOGICAL SERVICES, P.C.
Organization
Psychologist (Clinical)4939 LOWER ROSWELL RD SUITE B-202
MARIETTA, GA 30068
(770) 971-3303
1548663644PARKAIRE CONSULTANTS, INC.
Organization
Social Worker4939 LOWER ROSWELL RD SUITE 201C
MARIETTA, GA 30068
(770) 578-1519
1487943775 STACEY COHEN WEITZNER DMD
Individual
Dentist4939 LOWER ROSWELL RD
MARIETTA, GA 30068
(770) 973-0544
1083130736MS. HANNAH R WINEBURG LMSW
Individual
Social Worker4939 LOWER ROSWELL RD
MARIETTA, GA 30068
(336) 708-0750
1497271159HWH PSYCHOTHERAPY INC.
Organization
Social Worker4939 LOWER ROSWELL RD
MARIETTA, GA 30068
(336) 708-0750
1487237277 ANDREW T ASHLOCK
Individual
Counselor (Mental Health)4939 LOWER ROSWELL RD
MARIETTA, GA 30068
(770) 363-6213
1790441491 MICHELLE R RICHARDS
Individual
Counselor (Mental Health)4939 LOWER ROSWELL RD
MARIETTA, GA 30068
(770) 578-1519
1518734052THE WIG DR.
Organization
Prosthetic/Orthotic Supplier4939 LOWER ROSWELL RD
MARIETTA, GA 30068
(678) 540-2488

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962767954, enumerated in the NPI registry as an "organization" on July 06, 2012

The provider is located at 4939 Lower Roswell Rd Suite 104a Marietta, Ga 30068 and the phone number is (404) 816-7900

This medical organization specializes in Dermatology with taxonomy code 207N00000X

This NPI record was last updated on July 06, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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