PREMIERE DERMATOLOGY AND SURGERY, LLC – NPI #1518163310
Dermatology

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.

PREMIERE DERMATOLOGY AND SURGERY, LLC is a dermatologist located in LILBURN, GA. NPPES has assigned the NPI number 1518163310 to PREMIERE DERMATOLOGY AND SURGERY, LLC on June 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is PREMERE DERMATOLOGY AND SURGERY, LLC. The primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology.

The NPI profile was previously updated about 11 years ago on Jun 17, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PREMIERE DERMATOLOGY AND SURGERY, LLC below.

NPI Profile for
PREMIERE DERMATOLOGY AND SURGERY, LLC

NPI Number
1518163310
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PREMIERE DERMATOLOGY AND SURGERY, LLC
Former Legal Business Name: PREMERE DERMATOLOGY AND SURGERY, LLC
Primary location
4650 STONE MOUNTAIN HWY
LILBURN, GA 30047
Phone: (678) 344-2450 Fax: (678) 344-2501
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PAUL BOUTTE
PRACTICE MANAGER
Phone: (404) 218-9671
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207N00000X
- Dermatology (Primary)
GA 39318

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.