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WOODSTOCK DERMATOLOGY, PC
NPI 1063422251
Specialist in Woodstock, GA

Active since August 09, 2006
300 PARKBROOKE PL, SUITE 360, WOODSTOCK, GA 30189(770) 924-2573(770) 924-2534 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Woodstock Dermatology, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WOODSTOCK DERMATOLOGY, PC (NPI 1063422251) is a healthcare organization registered as a specialist in Woodstock, Georgia and active in the NPI registry since August 2006. The organization lists Anita Waddell, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1063422251
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameWOODSTOCK DERMATOLOGY, PC
Location Address300 PARKBROOKE PL, SUITE 360Woodstock, GA 30189-7209
Mailing Address300 Parkbrooke Pl Ste 360Woodstock, GA 30189-7280 · (770) 924-2573 · Fax (770) 924-2534
Phone(770) 924-2573
Fax(770) 924-2534
Organization SubpartNo
Authorized OfficialAnita WaddellOffice Manager · (770) 924-2573
Enumeration DateAugust 9, 2006
Last NPPES UpdateFebruary 9, 2026
NPPES CertifiedFebruary 9, 2026
✔ NPI 1063422251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 32512
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
300 PARKBROOKE PL, Woodstock, GA 30189
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OPEN MRI OF GEORGIA, INC
Radiology (Diagnostic Radiology)
300 PARKBROOKE PL, SUITE 170
WOODSTOCK, GA 30189
Cherokee County (678) 494-2345
DR. ARUN GEORGE JOSEPH MD
Pain Medicine (Interventional Pain Medicine)
300 PARKBROOKE PL
WOODSTOCK, GA 30189
Cherokee County (404) 920-4950
DR. RICHARD ARASI MD
Specialist
300 PARKBROOKE PL, SUITE 360
WOODSTOCK, GA 30189
Cherokee County (770) 924-2573
NORTHWEST DIAGNOSTIC IMAGING, INC
Radiology (Diagnostic Radiology)
300 PARKBROOKE PL, SUITE 170
WOODSTOCK, GA 30189
Cherokee County (678) 494-2345

Frequently 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 Woodstock Dermatology, PC's NPI number?

The NPI number for Woodstock Dermatology, PC is 1063422251. It was assigned to this organization in the NPPES registry on August 9, 2006.

Where is Woodstock Dermatology, PC located?

Woodstock Dermatology, PC is located at 300 Parkbrooke Pl Suite 360, Woodstock, GA 30189. The listed phone number is (770) 924-2573.

What is Woodstock Dermatology, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Woodstock Dermatology, PC was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.