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EVANS DERMATOLOGY, LLC
NPI 1083862577
Specialist in Evans, GA

Active since September 09, 2008
902 PONDER PLACE CT, EVANS, GA 30809(706) 922-3376(706) 922-5643 Get Directions Write a Review

NPPES record last updated: November 7, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Evans Dermatology, Llc NPPES

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

EVANS DERMATOLOGY, LLC (NPI 1083862577) is a healthcare organization registered as a specialist in Evans, Georgia and active in the NPI registry since September 2008. The organization lists Frances Florentino, Member, as its authorized official.

NPPES Registry Identity

NPI1083862577
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameEVANS DERMATOLOGY, LLC
Location Address902 PONDER PLACE CTEvans, GA 30809-3184
Mailing Address902 Ponder Place CtEvans, GA 30809-3184 · (706) 922-3376 · Fax (706) 922-5643
Phone(706) 922-3376
Fax(706) 922-5643
Organization SubpartNo
Authorized OfficialFrances FlorentinoMember · (407) 595-4859
Enumeration DateSeptember 9, 2008
Last NPPES UpdateNovember 7, 2008
✔ NPI 1083862577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 0576116
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.
902 PONDER PLACE CT, Evans, GA 30809
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

Other Providers at the Same Location NPPES 10

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

JESSICA FIELDS PA
Physician Assistant (Medical)
902 PONDER PLACE CT, SUITE 3
EVANS, GA 30809
Columbia County (706) 364-3223
JORDAN PAUL MASON FNP
Nurse Practitioner (Family)
902 PONDER PLACE CT
EVANS, GA 30809
Columbia County (706) 364-3223
HARMONIE MEDICAL
Clinic/Center (Medical Specialty)
902 PONDER PLACE CT
EVANS, GA 30809
Columbia County (706) 210-2625
DANIELLE ELIZABETH ELBERT PA-C
Physician Assistant
902 PONDER PLACE CT
EVANS, GA 30809
Columbia County (706) 364-3223
DR. ADELINE JANINE JOHNSON M.D.
Dermatology
902 PONDER PLACE CT, 1ST FLOOR
EVANS, GA 30809
Columbia County (706) 922-3376
THE GEORGIA CENTER FOR BODY PLASTIC SURGERY
Surgery (Plastic and Reconstructive Surgery)
902 PONDER PLACE CT, SUITE 1
EVANS, GA 30809
Columbia County (706) 210-2625
CATHERINE SASSER NP
Nurse Practitioner
902 PONDER PLACE CT
EVANS, GA 30809
Columbia County (706) 364-3223
THE GEORGIA CENTER FOR DERMATOLOGY AND SKIN CANCER SPECIALISTS
Clinic/Center
902 PONDER PLACE CT
EVANS, GA 30809
Columbia County (706) 364-8876

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 Evans Dermatology, LLC's NPI number?

The NPI number for Evans Dermatology, LLC is 1083862577. It was assigned to this organization in the NPPES registry on September 9, 2008.

Where is Evans Dermatology, LLC located?

Evans Dermatology, LLC is located at 902 Ponder Place Ct, Evans, GA 30809. The listed phone number is (706) 922-3376.

What is Evans Dermatology, LLC's specialty?

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

What insurance does Evans Dermatology, LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Evans Dermatology, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evans Dermatology, LLC was last updated on November 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.