GEORGIA MOUNTAIN DERMATOLOGY, LLC
NPI 1043400088
Dermatology in Jasper, GA
About Georgia Mountain Dermatology, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GEORGIA MOUNTAIN DERMATOLOGY, LLC (NPI 1043400088) is a healthcare organization registered as a dermatology in Jasper, Georgia and active in the NPI registry since July 2007. The organization lists Carlton Trent Faulk, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D1074084
Georgia Mountain Dermatology, LLC · Jasper, GAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Georgia Mountain Dermatology, LLC's NPI number?
The NPI number for Georgia Mountain Dermatology, LLC is 1043400088. It was assigned to this organization in the NPPES registry on July 26, 2007.
Where is Georgia Mountain Dermatology, LLC located?
Georgia Mountain Dermatology, LLC is located at 150 Interstate South Drive Suite 100, Jasper, GA 30143. The listed phone number is (706) 253-3376.
What is Georgia Mountain Dermatology, LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
When was this NPI record last updated?
The NPPES record for Georgia Mountain Dermatology, LLC was last updated on July 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.