GEORGIA SKIN CENTER
NPI 1407215817
Dermatology in Gainesville, GA

Active since February 12, 2016
1250 JESSE JEWELL PKWY SE, SUITE 500, GAINESVILLE, GA 30501(770) 535-7546(770) 535-7591 Get Directions Write a Review

NPPES record last updated: March 10, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 15, 2016, Feb 12, 2016 (2 updates tracked since 2016).

About Georgia Skin Center NPPES

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

GEORGIA SKIN CENTER (NPI 1407215817) is a healthcare organization registered as a dermatology in Gainesville, Georgia and active in the NPI registry since February 2016. The organization lists Misty Caudell, President, as its authorized official.

NPPES Registry Identity

NPI1407215817
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSKIN CENTER OF GEORGIA, PC
Location Address1250 JESSE JEWELL PKWY SE, SUITE 500Gainesville, GA 30501-3871
Mailing AddressPo Box 1456Gainesville, GA 30503-1456 · (770) 535-7546 · Fax (770) 535-7591
Fax(770) 535-7591
Organization SubpartNo
Authorized OfficialMisty CaudellPresident · (706) 201-6324
Enumeration DateFebruary 12, 2016
Last NPPES UpdateMarch 10, 20162 updates tracked since enumeration
NPI 1407215817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in GA · 058402
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.
1250 JESSE JEWELL PKWY SE, Gainesville, GA 30501

Other Names 1

Doing Business AsGeorgia Skin Center

Other Identifiers 2

Medicare UPINI35455PA
Medicaid101343342PA

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

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner
1250 JESSE JEWELL PKWY SE, SUITE 200
GAINESVILLE, GA 30501
Clinic/Center (Ambulatory Surgical)
1250 JESSE JEWELL PKWY SE, SUITE 100
GAINESVILLE, GA 30501
Nurse Practitioner
1250 JESSE JEWELL PKWY SE, STE 200
GAINESVILLE, GA 30501
Physical Medicine & Rehabilitation
1250 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Clinic/Center (Urgent Care)
1250 JESSE JEWELL PKWY SE, SUITE 400
GAINESVILLE, GA 30501
Specialist
1250 JESSE JEWELL PKWY SE, STE 200
GAINESVILLE, GA 30501
Radiology (Diagnostic Radiology)
1250 JESSE JEWELL PKWY SE, STE. 500
GAINESVILLE, GA 30501
Nurse Practitioner (Family)
1250 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501

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 Skin Center Of Georgia, PC's NPI number?

The NPI number for Skin Center Of Georgia, PC is 1407215817. It was assigned to this organization in the NPPES registry on February 12, 2016. The provider is doing business as Georgia Skin Center.

Where is Skin Center Of Georgia, PC located?

Skin Center Of Georgia, PC is located at 1250 Jesse Jewell Pkwy SE Suite 500, Gainesville, GA 30501. The listed phone number is (770) 535-7546.

What is Skin Center Of Georgia, PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Skin Center Of Georgia, PC was last updated on March 10, 2016. 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.