# MEDICAL DERMATOLOGY SPECIALISTS,PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134544679
- **Authorized official:** DR. JAMIE D WEISMAN M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (404) 939-9220

## Contact information

- **Practice address:** 5730 GLENRIDGE DR, SUITE T-100, SANDY SPRINGS, GA 30328-6141
- **Practice address phone:** (404) 939-9220
- **Practice address fax:** (404) 939-9221
- **Mailing address:** 5730 GLENRIDGE DR, SUITE T-100, SANDY SPRINGS, GA 30328-6141
- **Mailing address phone:** (404) 939-9220
- **Mailing address fax:** (404) 939-9221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 50088 | GA | Yes |

## Other

- **Enumeration date:** 02/20/2014
- **Last updated:** 08/31/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 070016848 | MEDICARE RAILROAD | GA |
| 01 | — | 07BBSST | MEDICARE ID | GA |
| 01 | — | 202I075875 | MEDICARE PTAN | GA |