ATHENS DERMATOLOGY GROUP PC
NPI 1336361005
Dermatology in Watkinsville, GA

Active since May 03, 2007
1050 THOMAS AVE, WATKINSVILLE, GA 30677(706) 769-1550(706) 769-1514 Get Directions Write a Review

NPPES record last updated: August 11, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Athens Dermatology Group Pc NPPES

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

ATHENS DERMATOLOGY GROUP PC (NPI 1336361005) is a healthcare organization registered as a dermatology in Watkinsville, Georgia and active in the NPI registry since May 2007. The organization lists Karen R Maffei, President, as its authorized official.

NPPES Registry Identity

NPI1336361005
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameATHENS DERMATOLOGY GROUP PC
Location Address1050 THOMAS AVEWatkinsville, GA 30677-6071
Mailing Address1050 Thomas AveWatkinsville, GA 30677-6071 · (706) 769-1550 · Fax (706) 769-1514
Fax(706) 769-1514
Organization SubpartNo
Authorized OfficialKaren R MaffeiPresident · (706) 769-1550
Enumeration DateMay 3, 2007
Last NPPES UpdateAugust 11, 2010
✔ NPI 1336361005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in GA · 035943
Definition
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.
1050 THOMAS AVE, Watkinsville, GA 30677

Other Identifiers 2

Medicare ID-Type UnspecifiedGRP4227GA
Medicare UPING54714GA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Athens Dermatology Group Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Athens Dermatology Group PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Cardiovascular Disease (Cardiology)
NPI 1437142569
1050 THOMAS AVE
Watkinsville, GA 30677
(850) 233-3376
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1902881659
1050 THOMAS AVE
Watkinsville, GA 30677
(706) 769-1550
✔ PECOS✔ Accepts Medicare1.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Athens Dermatology Group PC's NPI number?

The NPI number for Athens Dermatology Group PC is 1336361005. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Athens Dermatology Group PC located?

Athens Dermatology Group PC is located at 1050 Thomas Ave, Watkinsville, GA 30677. The listed phone number is (706) 769-1550.

What is Athens Dermatology Group PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Athens Dermatology Group PC enrolled in Medicare?

Yes. Athens Dermatology Group PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Athens Dermatology Group PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Athens Dermatology Group PC, in Cardiovascular Disease (Cardiology) and Dermatology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Athens Dermatology Group PC was last updated on August 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.