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AUGUSTA CENTRE FOR DERMATOLOGY & SKIN RENEWAL LLC
NPI 1255702940
Clinic/Center - Medical Specialty in Augusta, GA

Active since October 07, 2015
3614 J DEWEY GRAY CIR, STE B, AUGUSTA, GA 30909(706) 447-3909 Get Directions Write a Review

NPPES record last updated: October 7, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Augusta Centre For Dermatology & Skin Renewal Llc NPPES

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

AUGUSTA CENTRE FOR DERMATOLOGY & SKIN RENEWAL LLC (NPI 1255702940) is a healthcare organization registered as a medical specialty in Augusta, Georgia and active in the NPI registry since October 2015. The organization lists Anne M Loebl, Owner, as its authorized official.

NPPES Registry Identity

NPI1255702940
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameAUGUSTA CENTRE FOR DERMATOLOGY & SKIN RENEWAL LLC
Location Address3614 J DEWEY GRAY CIR, STE BAugusta, GA 30909-6602
Mailing Address3614 J Dewey Gray Cir, Ste BAugusta, GA 30909-6602 · (706) 447-3909
Phone(706) 447-3909
Organization SubpartNo
Authorized OfficialAnne M LoeblOwner · (706) 447-3909
Enumeration DateOctober 7, 2015
✔ NPI 1255702940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in GA · 022436
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
3614 J DEWEY GRAY CIR, Augusta, GA 30909
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Other Identifiers 2

Medicare UPINF03076
Medicare PIN07BBSTV

Other Providers at the Same Location NPPES 5

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

KENNETH W REEVES M.D.
Internal Medicine (Cardiovascular Disease)
3614 J DEWEY GRAY CIR, STE A
AUGUSTA, GA 30909
Richmond County (706) 863-5635
DR. ANDREW E DICK M.D.
Specialist
3614 J DEWEY GRAY CIR, SUITE B
AUGUSTA, GA 30909
Richmond County (706) 868-8854
SANTANA MARIA ROBINSON ARNP, FNP-C
Nurse Practitioner (Family)
3614 J DEWEY GRAY CIR
AUGUSTA, GA 30909
Richmond County (706) 868-7380
SOUTHERN INTERNAL MEDICINE CRITICAL CARE ASSOCIATES, LLC
Internal Medicine (Critical Care Medicine)
3614 J DEWEY GRAY CIR, BULDING B
AUGUSTA, GA 30909
Richmond County (706) 504-4651
DR. TITO C SOBRINHO M.D.
Pediatrics (Adolescent Medicine)
3614 J DEWEY GRAY CIR
AUGUSTA, GA 30909
Richmond County (706) 860-2949

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 Augusta Centre For Dermatology & Skin Renewal LLC's NPI number?

The NPI number for Augusta Centre For Dermatology & Skin Renewal LLC is 1255702940. It was assigned to this organization in the NPPES registry on October 7, 2015.

Where is Augusta Centre For Dermatology & Skin Renewal LLC located?

Augusta Centre For Dermatology & Skin Renewal LLC is located at 3614 J Dewey Gray Cir Ste B, Augusta, GA 30909. The listed phone number is (706) 447-3909.

What is Augusta Centre For Dermatology & Skin Renewal LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Augusta Centre For Dermatology & Skin Renewal LLC was last updated on October 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.