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
The NPI number assigned to this healthcare provider is 1194209163, enumerated as an "organization" on September 17, 2018.
The provider is located at 135 NORCROSS ST # 8 ROSWELL, GA 30075 and the phone number is (678) 870-2020.
Dermatology with taxonomy code 207N00000X.
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.
