Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Atlanta Dermatology & Surgery PA

Organization Specialist · NPI 1932300084

Atlanta Dermatology & Surgery PA provides Specialist services in Tucker, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1462 Montreal Rd Ste 411
Tucker, GA 30084-6929 Not confirmed with CMS for 10 years — call before visiting
Phone: (404) 296-8000
Fax: (770) 493-6842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 011850 (GA)

Record details

NPI number1932300084
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Cooper — President · (404) 296-8000
NPI enumeratedMay 29, 2007
Last updated in NPPESNovember 17, 2015
Mailing address1462 Montreal Rd, Suite 411, Tucker, GA 30084-6929

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