WOODSTOCK DERMATOLOGY, PC
NPI 1063422251
Specialist in Woodstock, GA

NPI Status: Active since August 09, 2006

Contact Information

300 PARKBROOKE PL
SUITE 360
WOODSTOCK, GA
ZIP 30189
Phone: (770) 924-2573
Fax: (770) 924-2534

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  • Organization
  • Specialist

About WOODSTOCK DERMATOLOGY, PC

This page provides the complete NPI Profile along with additional information for Woodstock Dermatology, Pc, a provider established in Woodstock, Georgia operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1063422251 assigned on August 2006. The practitioner's primary taxonomy code is 174400000X with license number 32512 (GA). The provider is registered as an organization and their NPI record was last updated February 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Anita Waddell (Office Manager)

NPI
1063422251
Provider Name
WOODSTOCK DERMATOLOGY, PC
Entity Type
Organization
Location Address
300 PARKBROOKE PL SUITE 360 WOODSTOCK, GA 30189
Location Phone
(770) 924-2573
Location Fax
(770) 924-2534
Mailing Address
300 PARKBROOKE PL STE 360 WOODSTOCK, GA 30189
Mailing Phone
(770) 924-2573
Mailing Fax
(770) 924-2534
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-09-2006
Last Update Date
02-09-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
32512
License State
GA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANITA WADDELL

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(770) 924-2573

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063422251, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 2 → 4 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 8 + 2 + 4 + 2 + 1 + 0 + 24 = 49

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1063422251.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
300 PARKBROOKE PL, SUITE 170
WOODSTOCK, GA 30189
Specialist
300 PARKBROOKE PL, SUITE 360
WOODSTOCK, GA 30189
Radiology (Diagnostic Radiology)
300 PARKBROOKE PL, SUITE 170
WOODSTOCK, GA 30189
Pain Medicine (Interventional Pain Medicine)
300 PARKBROOKE PL
WOODSTOCK, GA 30189
Physical Medicine & Rehabilitation (Pain Medicine)
300 PARKBROOKE PL
WOODSTOCK, GA 30189

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063422251, enumerated as an "organization" on August 09, 2006.

The provider is located at 300 PARKBROOKE PL SUITE 360 WOODSTOCK, GA 30189 and the phone number is (770) 924-2573.

Specialist with taxonomy code 174400000X.