LIVE OAK DERMATOLOGY
NPI 1194209163
Dermatology in Roswell, GA
About Live Oak Dermatology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIVE OAK DERMATOLOGY (NPI 1194209163) is a healthcare organization registered as a dermatology in Roswell, Georgia and active in the NPI registry since September 2018. The organization holds a CLIA Waiver certificate valid through April 8, 2027 and lists Brent Goedjen, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Group Practice 1
Accepted Insurance
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 of Waiver 11D2164528
Live Oak Dermatology · Roswell, 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 Live Oak Dermatology's NPI number?
The NPI number for Live Oak Dermatology is 1194209163. It was assigned to this organization in the NPPES registry on September 17, 2018.
Where is Live Oak Dermatology located?
Live Oak Dermatology is located at 135 Norcross St # 8, Roswell, GA 30075. The listed phone number is (678) 870-2020.
What is Live Oak Dermatology's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Does Live Oak Dermatology hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2164528) is associated with this NPI, valid through April 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Live Oak Dermatology accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Live Oak Dermatology 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 Live Oak Dermatology was last updated on July 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.
