MEDICARE: DR. JAMES BRADFORD DEPEW MD FACS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0122X	Plastic and Reconstructive Surgery Physician	078473	GA

General Provider Information

NPI Number	:	1033374392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES BRADFORD DEPEW MD FACS

Provider Business Mailing Address
First Line	:	981 FAIRFIELD DR
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30068-2624
Country	:	US
Telephone Number	:	678-752-7842
Fax Number	:	804-487-4373

Provider Business Practice Location Address
First Line	:	980 JOHNSON FERRY RD STE 110
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1607
Country	:	US
Telephone Number	:	678-752-7842
Fax Number	:	804-487-4373

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2008
Last Update Date	:	03/05/2026

Similar Medicare Providers

1659893139 — JAMES B DEPEW MD PC
Practice Location Address:

980 JOHNSON FERRY RD STE 110
ATLANTA, GA
30342-1607

Practice Phone: 678-752-7842
Practice Fax: 804-487-4373

1487610275 — KAVEH KHAJAVI MD
Practice Location Address:

980 JOHNSON FY RD NE STE 490
ATLANTA, GA
30342-1607

Practice Phone: 404-299-3338
Practice Fax: 404-299-3315

1154412401 — DR. MARISA LAWRENCE MD PC
Practice Location Address:

980 JOHNSON FY RD NE STE 110
ATLANTA, GA
30342-1607

Practice Phone: 404-303-7004
Practice Fax: 404-303-7020

1659457380 — NANCY CANTER WEINER MD
Practice Location Address:

980 JOHNSON FERRY RD STE 490
ATLANTA, GA
30342-1607

Practice Phone: 404-350-8941
Practice Fax: 404-355-1827

1700935293 — ANGELA R EVANS NP-C
Practice Location Address:

980 JOHNSON FY RD NE STE 110
ATLANTA, GA
30342-1607

Practice Phone: 404-303-7004
Practice Fax: 404-303-7020

1679731251 — DR. MALINI DOLON SUR M.D.
Practice Location Address:

980 JOHNSON FERRY RD STE 170
ATLANTA, GA
30342-1607

Practice Phone: 404-300-2140
Practice Fax:

Directions to “ DR. JAMES BRADFORD DEPEW MD FACS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.